AMAZING GRACE OASIS II NPI 1396213302

NPI Information

  • NPI: 1396213302
  • Provider Name: AMAZING GRACE OASIS II
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Address: 8708 BRIDGEPORT AVE
    HESPERIA, CA
    ZIP 92344
  • Phone: (818) 572-3956

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NPI Details

AMAZING GRACE OASIS II is an intermediate care facility mental illness in Hesperia, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. AMAZING GRACE OASIS II NPI is 1396213302. The provider is registered as an organization entity type.

The provider's business location address is:

8708 BRIDGEPORT AVE
HESPERIA, CA
ZIP 92344-562
Phone: (818) 572-3956
Fax: (818) 925-3011

The provider's authorized official is Eileen Andreasyan .
The authorized official title is Administrator and has the following contact phone number (818) 572-3956.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 11/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310500000XIntermediate Care Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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