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AMAZING GRACE OASIS II
NPI 1396213302
Intermediate Care Facility, Mental Illness in Hesperia, CA

Active since November 07, 2018CLIA Certified · 2 labs
8708 BRIDGEPORT AVE, HESPERIA, CA 92344(818) 572-3956(818) 925-3011 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amazing Grace Oasis Ii NPPES

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

AMAZING GRACE OASIS II (NPI 1396213302) is a healthcare organization registered as an intermediate care facility, mental illness in Hesperia, California and active in the NPI registry since November 2018. The organization holds 2 active CLIA laboratory certificates and lists Eileen Andreasyan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396213302
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameAMAZING GRACE OASIS II
Location Address8708 BRIDGEPORT AVEHesperia, CA 92344-5562
Mailing Address8708 Bridgeport AveHesperia, CA 92344-5562 · (818) 572-3956 · Fax (818) 925-3011
Phone(818) 572-3956
Fax(818) 925-3011
Organization SubpartNo
Authorized OfficialEileen AndreasyanAdministrator · (818) 572-3956
Enumeration DateNovember 7, 2018
✔ NPI 1396213302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
8708 BRIDGEPORT AVE, Hesperia, CA 92344
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2168214

Amazing Grace Oasis II · Hesperia, CA
Active · expires Jul 2, 2028
CLIA Number05D2168214
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorEzzat A. Nashed
Laboratory Phone(760) 488-1128
Laboratory LocationAmazing Grace Oasis II8708 Bridgeport Ave, Hesperia, CA 92344
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2136671

Amazing Grace Oasis · Hesperia, CA
Active · expires Sep 12, 2027
CLIA Number05D2136671
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorEzzat Nashed
Laboratory Phone(760) 949-0431
Laboratory LocationAmazing Grace Oasis13842 Lemongrass Way, Hesperia, CA 92344
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Amazing Grace Oasis II's NPI number?

The NPI number for Amazing Grace Oasis II is 1396213302. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Amazing Grace Oasis II located?

Amazing Grace Oasis II is located at 8708 Bridgeport Ave, Hesperia, CA 92344. The listed phone number is (818) 572-3956.

What is Amazing Grace Oasis II's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Amazing Grace Oasis II hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Amazing Grace Oasis II was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.