NPIMap

Organization Active NPI

Lesmoni Inc

Doing business as Cedar Ridge House ICF/DDN

  • Nursing Facility/Intermediate Care Facility
  • Antioch, CA
National Provider Identifier
1811102791
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
LTC80387F Issued in CA
Legal business name
LESMONI INC
Doing business as
Cedar Ridge House ICF/DDN
Practice address
5241 Cedar Ridge Way
Antioch, CA 94531-8097
Phone
(925) 757-1379
Fax
(925) 978-2761
NPI assigned
May 13, 2007
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Ms. Judith C Abesamis, RNNPI 1336592567
Title
Owner
Phone
(925) 757-1379

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)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LTC80387F CA Primary

Addresses

Primary practice location

5241 Cedar Ridge Way
Antioch, CA 94531-8097

Mailing address

5241 Cedar Ridge Way
Antioch, CA 94531
UM
Phone (925) 757-1379

Other names 1

  • Cedar Ridge House ICF/DDN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811102791. Details of each certification follow.

  • CCN 55G551 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G551

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CEDAR RIDGE HOUSE ICF/DD-N
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 10, 2006
Last certification
May 30, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
5241 Cedar Ridge Way
Antioch, CA 94531

National Provider Directory

National Provider Directory
Tax ID family
Cedar Ridge House Icfddn3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1811102791",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5241 CEDAR RIDGE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "ABESAMIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-757-1379",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "LTC80387F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Ridge House ICF/DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.