Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blissful Jackson Facility LLC

Q: What type of organization is Blissful Jackson Facility LLC?

Blissful Jackson Facility LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Assisted Living Facility in Riverside, CA · enumerated 2024 · authorized official Ken Clavio, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164245304

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Registry record

Entity type Organization (Type 2)

Legal business name Blissful Jackson Facility LLC

Practice address 4105 Jackson St, Riverside, CA, 92503

Phone (310) 729-3844

Enumeration date Nov 6, 2024

Last updated in NPPES Nov 9, 2024

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Ken Clavio

Title Ceo

Phone (310) 729-3844

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Blissful Jackson Facility LLC?

Blissful Jackson Facility LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-09.