AMAZING GRACE OASIS III
NPI 1992486997
Intermediate Care Facility, Intellectual Disabilities in Hesperia, CA

NPI Status: Active since July 31, 2023

Contact Information

13253 LONG MEADOW ST
HESPERIA, CA
ZIP 92344
Phone: (818) 203-7779
Fax: (818) 925-3011

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About AMAZING GRACE OASIS III

This page provides the complete NPI Profile along with additional information for Amazing Grace Oasis Iii, a provider established in Hesperia, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1992486997 assigned on July 2023. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Arsen Andreasyan (Ceo)

NPI
1992486997
Provider Name
AMAZING GRACE OASIS III
Entity Type
Organization
Location Address
13253 LONG MEADOW ST HESPERIA, CA 92344
Location Phone
(818) 203-7779
Location Fax
(818) 925-3011
Mailing Address
13253 LONG MEADOW ST HESPERIA, CA 92344
Mailing Phone
(818) 203-7779
Mailing Fax
(818) 925-3011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2023
Last Update Date
07-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARSEN ANDREASYAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 203-7779

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992486997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291828812918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 8 + 8 + 1 + 2 + 9 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1992486997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992486997, enumerated as an "organization" on July 31, 2023.

The provider is located at 13253 LONG MEADOW ST HESPERIA, CA 92344 and the phone number is (818) 203-7779.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.