Individual provider Active NPI

Bianca Ivascu

  • Assisted Living Facility
  • Riverside, CA
National Provider Identifier
1619781184
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336426181 Issued in CA
Practice address
12543 Bougainvillea Way
Riverside, CA 92503-7023
Phone
(951) 454-9287
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336426181 CA Primary

Addresses

Primary practice location

12543 Bougainvillea Way
Riverside, CA 92503-7023

Mailing address

12543 Bougainvillea Way
Riverside, CA 92503-7023
Phone (951) 454-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
336426181CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Faith and Hope Homes LLC Assisted Living Facility Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1619781184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 BOUGAINVILLEA WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037023",
            "telephone_number": "951-454-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12543 BOUGAINVILLEA WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037023",
            "telephone_number": "951-454-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVASCU",
        "first_name": "BIANCA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336426181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.