MEDICARE: THE ACHILLE MARCHESIELLO TRUST- THE TODDHOTEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1619823903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ACHILLE MARCHESIELLO TRUST- THE TODDHOTEL

Provider Business Mailing Address
First Line	:	3 W RICHMOND AVE
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94801-3948
Country	:	US
Telephone Number	:	415-305-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 W RICHMOND AVE
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94801-3948
Country	:	US
Telephone Number	:	415-305-6539
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GIANFRANCO MARCHESIELLO
Credential	:	MA PUBLIC ADMIN
Telephone Number	:	415-305-6539

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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