Organization Active NPI

Oak Fence Senior Living, LLC

Doing business as Oak Fence Congregate Living Health Facility

  • Skilled Nursing Facility
  • Lancaster, CA
National Provider Identifier
1497140222
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550002982 Issued in CA
Legal business name
OAK FENCE SENIOR LIVING, LLC
Doing business as
Oak Fence Congregate Living Health Facility
Practice address
6067 West Oak Fence Lane
Lancaster, CA 93536
Phone
(661) 270-2140
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Than Than AyeNPI 1710531801
Title
President
Phone
(909) 967-1872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550002982 CA Primary

Addresses

Primary practice location

6067 West Oak Fence Lane
Lancaster, CA 93536

Mailing address

6067 West Oak Fence Lane
Lancaster, CA 93536
Phone (661) 270-2140

Other identifiers 1

IdentifierTypeStateIssuer
550002982OtherCADEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Oak Fence Congregate Living Health Facility 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1497140222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 WEST OAK FENCE LANE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-270-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 WEST OAK FENCE LANE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-270-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FENCE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "AYE",
        "authorized_official_first_name": "THAN",
        "authorized_official_middle_name": "THAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-967-1872"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550002982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "550002982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Fence Congregate Living Health Facility",
            "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 May 19, 2020; 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.