Blissful Jackson Facility LLC
NPI 1164245304 · Assisted Living Facility · Riverside, CA
Blissful Jackson Facility LLC is a Assisted Living Facility organization in Riverside, CA (NPI 1164245304).
Provider details
- NPI number
- 1164245304
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ken Clavio, Ceo(310) 729-3844
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2024-11-09
- Certified
- 2024-11-09
Frequently asked questions
- What is Blissful Jackson Facility LLC's NPI number?
- Blissful Jackson Facility LLC's National Provider Identifier (NPI) is 1164245304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blissful Jackson Facility LLC?
- Blissful Jackson Facility LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Blissful Jackson Facility LLC located?
- Blissful Jackson Facility LLC's practice location on file with NPPES is 4105 Jackson St, Riverside, CA 92503-3911.
- What is Blissful Jackson Facility LLC's phone number?
- The practice phone number listed in the NPPES registry for Blissful Jackson Facility LLC is (310) 729-3844.
- Who is the authorized official for Blissful Jackson Facility LLC?
- The authorized official listed on Blissful Jackson Facility LLC's NPPES record is Ken Clavio, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blissful Jackson Facility LLC's NPI active?
- Yes — Blissful Jackson Facility LLC's NPI (1164245304) is active in the NPPES registry as of the last update on 2024-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.