Active NPI
Lesmoni Incorporation
Doing business as Covington House ICF/DDN
- Nursing Facility/Intermediate Care Facility
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 550001183
- Legal business name
- LESMONI INCORPORATION
- Doing business as
- Covington House ICF/DDN
- Practice address
- 5241 Cedar Ridge Way
Antioch, CA 94531-8097 - Phone
- (925) 757-1379
- Fax
- (925) 978-2761
- NPI assigned
- Jul 26, 2010
- Last updated
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judith Conmigo Abesamis, REGISTERED NURSE
- Title
- Ceo/Administrator
- Phone
- (925) 325-5344
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 550001183 | CA | Primary |
Addresses
Primary practice location
5241 Cedar Ridge Way
Antioch, CA 94531-8097
Mailing address
5241 Cedar Ridge Way
Antioch, CA 94531-8097
Phone (925) 757-1379
Other names 1
- Covington House ICF/DDN
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Ridge House Icfddn
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Antioch, CA
- NPI 1033662218
-
dba Cedar Ridge House ICF/DDN
- Nursing Facility/Intermediate Care Facility
- Antioch, CA
- NPI 1811102791
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.
-
- Intellectual Disabilities Intermediate Care Facility
- Antioch, CA
- NPI 1336592567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280102400000",
"number": "1629381108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5241 CEDAR RIDGE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318097",
"telephone_number": "925-757-1379",
"fax_number": "925-978-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 CEDAR RIDGE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318097",
"telephone_number": "925-757-1379",
"fax_number": "925-978-2761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESMONI INCORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A",
"authorized_official_last_name": "ABESAMIS",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "CONMIGO",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "925-325-5344",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "550001183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Covington House ICF/DDN",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.