Community Care on Palm Riverside, LLC
NPI 1619560216ActiveOrganization· Skilled Nursing Facility· Riverside, CA
Skilled Nursing Facility in Riverside, California, registered in NPPES in February 2021. The authorized official on file is Ezra Bercovich, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1619560216 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2021 |
| Last updated in NPPES | Feb 15, 2021 |
| Certified by provider | Jan 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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