Lag Youth Foundation Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LAG YOUTH FOUNDATION INC

Practice address

3024 Ember Dr Apt 105
Decatur, GA 30034-1545

Phone

(404) 454-1031

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Bryant Bernard Bailey

Title

Owner

Phone

(404) 454-1031

Specialties & licenses 1

Addresses

Other names 1

• LAG YOUTH HEALTHCARE Doing business as

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1043906290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 EMBER DR APT 105",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341545",
            "telephone_number": "404-454-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 EMBER DR APT 105",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341545",
            "telephone_number": "404-454-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAG YOUTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-454-1031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAG YOUTH HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony John Labadia, PA-C
• Laboratory Corporation of America Holdings
• Ingrid Jennifer Lacey, LPC, BC-DMT, GLCMA
• Mary Kathleen Lach
• Madison Greer Lackey, PT, DPT
• Elizabeth Lahaie, MSN, BSN, RN
• Jayce Laing-Green, LMSW
• Susan K Laird, DNP, MSN, RN
• Susan Margaret Laird, PH.D.
• Derrick Christopher Lake, LCSW

• Nursing Care Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.