Lesters Home Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

220000483 Issued in CA

Legal business name

LESTERS HOME INC.

Practice address

3271 Susan Dr
San Bruno, CA 94066-1639

Phone

(650) 273-8181

Fax

(650) 359-7865

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marissa Legarda

Title

President Ceo

Phone

(650) 273-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lesters Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lesters Home Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Bruno, CA
  • NPI 1154714616
  NPD tax ID

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1962627885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 SUSAN DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661639",
            "telephone_number": "650-273-8181",
            "fax_number": "650-359-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 SUSAN DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661639",
            "telephone_number": "650-273-8181",
            "fax_number": "650-359-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTERS HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "LEGARDA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "650-273-8181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "220000483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC61017F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lei Luo, D.D.S., Inc
• Jennifer Leon
• Brittany Kirsten Smyth Leonis
• Thomas Lesinski, PA
• Lesters Home Inc.
• Heaven Leuea
• Bryan Leung
• Stephanie H Leung
• Abigail Lew
• Colette Marie Lewis

• Intellectual Disabilities Intermediate Care Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.