NPIMap

Organization Active NPI

Oak Fence Senior Living LLC

  • Pediatric Skilled Nursing Facility
  • Lancaster, CA
National Provider Identifier
1124666771
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
OAK FENCE SENIOR LIVING LLC
Practice address
6036 Oak Fence LN
Lancaster, CA 93536-1794
Phone
(909) 967-1872
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Than T Aye
Title
Owner
Phone
(909) 967-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

6036 Oak Fence LN
Lancaster, CA 93536-1794

Mailing address

6036 Oak Fence LN
Lancaster, CA 93536-1794
Phone (909) 967-1872

Other identifiers 1

IdentifierTypeStateIssuer
1497140222MedicaidCA

Other names 1

  • Oak Fence Congregate Living Health Facility #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oak Fence Senior Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1124666771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 OAK FENCE LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361794",
            "telephone_number": "909-967-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 OAK FENCE LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361794",
            "telephone_number": "909-967-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FENCE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "AYE",
        "authorized_official_first_name": "THAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-967-1872"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497140222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Fence Congregate Living Health Facility #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Fence Congregate Living Health Facility #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.