LESSA ILEANA ACOSTA


Address: 30500 Arrastre Canyon Rd., Acton, CA 93510
Phone: 6612238751

LESSA ILEANA ACOSTA (NPI# 1275003543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275003543
Entity Type Individual
Full Name LESSA ILEANA ACOSTA
Practice Address 30500 Arrastre Canyon Rd.
Acton
CA 93510
Mailing Address 30500 Arrastre Canyon Rd
Acton
CA 93510-2160
Practice Telephone 6612238751
Practice Fax Number 6612690427
Mailing Telephone 6612238751
Mailing Fax Number 6612690427
Enumeration Date 2018-11-29
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 190001AN CA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL 1316397938 01

Office Location

Street Address 30500 ARRASTRE CANYON RD.
City ACTON
State CA
Zip Code 93510

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649792219 Jean Ella Fish Registered Nurse 30500 Arrestre Canyon Rd, Po Box 25, Acton, CA 93510 2017-07-14
1194118836 Debbie Welch Nurse Practitioner 2310 West Ave Y8, Acton, CA 93510 2015-03-05
1831465673 Salvatore Phillip Tarantino Pharmacist 3720 West Sierra Highway Unit G, Acton, CA 93510 2012-03-27
1134320534 Phillip Vincent Pinto Chiropractor 3630 Banson St, Acton, CA 93510 2007-05-31
1659403269 Marshawn Rodgers Counselor 30500 Arrastre Canyon Rd, Acton, CA 93510 2007-03-09
1598825564 Palmerrx Inc Pharmacy 3630 Smith Ave, Acton, CA 93510 2006-12-11
1326149899 Vanessa Naumann Johnson Chiropractor 3942 West Sierra Hwy, Suite 6, Acton, CA 93510 2006-09-26
1538136007 Marian C Yeargin Acupuncturist 33315 Santiago Rd, Acton, CA 93510 2006-03-03
1518453257 Chantell Smeisser Counselor 30500 Arrastre Canyon Rd, Acton, CA 93510 2018-07-05
1790744985 Teri A Rogers Massage Therapist 33315 Santiago Rd, Acton, CA 93510 2006-03-17
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538799978 Cheryl Riven Substance Abuse Rehabilitation Facility 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 2020-01-24
1174168199 Antelope Valley Rehabilitation Center Substance Abuse Rehabilitation Facility 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 2019-11-13
1316397938 Antelope Valley Rehabilitation Centers Residential Substance Abuse Rehabilitation Facility 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 2016-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497359 California Care Detox & Treatment Substance Abuse Rehabilitation Facility 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 2020-11-02
1952900797 A Sacred Path Substance Abuse Rehabilitation Facility 5671 Spanish Flat Rd, Garden Valley, CA 95633 2020-10-22
1467051672 Spearhead Health Centers, LLC. Substance Abuse Rehabilitation Facility 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 2020-10-19
1073111613 A Place To Heal Substance Abuse Rehabilitation Facility 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 2020-10-15
1871191569 Old Oak Ranch Recovery Center Substance Abuse Rehabilitation Facility 19401 Susan Way, Sonora, CA 95370-9266 2020-10-14
1962009845 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 9952 Grandview Dr, La Mesa, CA 91941-6874 2020-10-05
1376140384 Magic House Recovery Inc Substance Abuse Rehabilitation Facility 1001 S Mountvale Ct, Anaheim, CA 92808-2108 2020-10-02
1942807060 New Perceptions North, LLC Substance Abuse Rehabilitation Facility 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 2020-10-01
1346857679 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 3480 Hidden Trail Dr, Jamul, CA 91935-2104 2020-09-30
1992312227 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 2020-09-30
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Competitor

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City ACTON
Zip Code 93510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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