Provider Demographics
NPI:1033662218
Name:LESMONI INC
Entity Type:Organization
Organization Name:LESMONI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:CONMIGO
Authorized Official - Last Name:ABESAMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-325-5344
Mailing Address - Street 1:5241 CEDAR RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8097
Mailing Address - Country:US
Mailing Address - Phone:925-757-1379
Mailing Address - Fax:925-978-2761
Practice Address - Street 1:2215 FIELD ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-3919
Practice Address - Country:US
Practice Address - Phone:925-325-5344
Practice Address - Fax:925-978-2761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities