Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blissful Jackson Facility LLC

Organization Assisted Living Facility · NPI 1164245304

Blissful Jackson Facility LLC is an Assisted Living Facility in Riverside, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4105 Jackson St
Riverside, CA 92503-3911
Phone: (310) 729-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1164245304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Clavio — Ceo · (310) 729-3844
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 9, 2024
Certification dateNovember 9, 2024
Mailing address4105 Jackson St, Riverside, CA 92503-3911

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