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

Fern Home 1 LLC

Organization Assisted Living Facility · NPI 1972029486

Fern Home 1 LLC is an Assisted Living Facility in Riverside, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

3875 Megginson Ln
Riverside, CA 92503-3425
Phone: (310) 997-8204
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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 · Licence 331800142 (CA)

Record details

NPI number1972029486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joi Mae Gubalane — Licensee/Administrator · (310) 997-8204
Other names Fern Home 1
NPI enumeratedAugust 16, 2017
Last updated in NPPESJuly 21, 2022
Mailing address3875 Megginson Lane, Riverside, CA 92503

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