AGING GRACE SENIOR LIVING FACILITY LLC
NPI 1033864525
Assisted Living Facility in Hesperia, CA

Q: What is Aging Grace Senior Living Facility LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 14, 2022

11539 HAWTHORNE AVE, HESPERIA, CA 92345(760) 508-8421 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aging Grace Senior Living Facility Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGING GRACE SENIOR LIVING FACILITY LLC (NPI 1033864525) is a healthcare organization registered as an assisted living facility in Hesperia, California and active in the NPI registry since February 2022. The organization lists Brittany Martin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033864525

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAGING GRACE SENIOR LIVING FACILITY LLC

Location Address11539 HAWTHORNE AVEHesperia, CA 92345-1927

Mailing Address1519 Rose Quartz LnBeaumont, CA 92223-3434 · (760) 508-8421

Phone(760) 508-8421

Organization SubpartNo

Authorized OfficialBrittany MartinAdministrator · (760) 508-8421

Enumeration DateFebruary 14, 2022

NPPES CertifiedFebruary 14, 2022

✔ NPI 1033864525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

11539 HAWTHORNE AVE, Hesperia, CA 92345

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MARTIN

Nursing Home Administrator

11539 HAWTHORNE AVE
HESPERIA, CA 92345

San Bernardino County (760) 508-8421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aging Grace Senior Living Facility LLC's NPI number?

The NPI number for Aging Grace Senior Living Facility LLC is 1033864525. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Aging Grace Senior Living Facility LLC located?

Aging Grace Senior Living Facility LLC is located at 11539 Hawthorne Ave, Hesperia, CA 92345. The listed phone number is (760) 508-8421.

What is Aging Grace Senior Living Facility LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Aging Grace Senior Living Facility LLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.