Amazing Grace Oasis III

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

AMAZING GRACE OASIS III

Practice address

13253 Long Meadow St
Hesperia, CA 92344-9266

Phone

(818) 203-7779

Fax

(818) 925-3011

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arsen Andreasyan

Title

Ceo

Phone

(818) 203-7779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1992486997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13253 LONG MEADOW ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449266",
            "telephone_number": "818-203-7779",
            "fax_number": "818-925-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13253 LONG MEADOW ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449266",
            "telephone_number": "818-203-7779",
            "fax_number": "818-925-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE OASIS III",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "ANDREASYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-203-7779"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Am Pharmacy Inc (Am Pharmacy)
• Yvonne Amador, MSW
• Amazing Grace Hospice Inc
• Amazing Grace Oasis
• Amazing Grace Oasis II
• Laura Amezcua
• Daisy Lupe Anaya
• Alexis Anderson
• Fred L Anderson, DPM
• Luisa Daniela Andrade

• Intellectual Disabilities Intermediate Care Facility in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.