Fern Home 1 LLC
NPI 1972029486ActiveOrganization· Assisted Living Facility· Riverside, CA
Assisted Living Facility in Riverside, California, registered in NPPES in August 2017. The authorized official on file is Joi Mae Gubalane, RCFE ADMINISTRATOR, Licensee/Administrator.
Overview
| NPI | 1972029486 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 331800142 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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