OrganizationActive
Fern Home 1 LLC
NPI 1972029486 · Assisted Living Facility · Riverside, CA
Provider details
- NPI number
- 1972029486
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joi Mae Gubalane, Licensee/Administrator(310) 997-8204
- License
- 331800142 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs 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
3875 Megginson Ln
Riverside, CA 92503-3425
Phone: (310) 997-8204
Street-level locationGet directions
Mailing address
3875 Megginson Lane
Riverside, CA 92503
Other names (DBA / former)
- Other name
- Fern Home 1
Registry dates
- Enumerated
- 2017-08-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.