Le Prime Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

067-R-1241 Issued in GA

Legal business name

LE PRIME CARE, LLC

Practice address

2080 Sugarloaf Pkwy Ste 100
Lawrenceville, GA 30045-9401

Phone

(770) 686-3566

Fax

(470) 545-6432

NPI assigned

Oct 25, 2014

Organization subpart

No

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

Authorized official

Name

Maxwell Yaovi Tengue

Title

Managing Director

Phone

(770) 686-3566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1134524713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 SUGARLOAF PKWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459401",
            "telephone_number": "770-686-3566",
            "fax_number": "470-545-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SUGARLOAF PKWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459401",
            "telephone_number": "770-686-3566",
            "fax_number": "470-545-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE PRIME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "TENGUE",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "YAOVI",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "770-686-3566"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "067-R-1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Lawson, ASSOCIATE COUNSELOR
• Maria Lawson, RN
• Olusesan Lawson
• Taren Lazzari, CNS
• LD Healthcare Service, LLC
• Adam Ngoc Le, PHARMD
• Baotrang Le, PHARMD
• Glenda M Le, NP
• Jenny Le
• Jill Le

• Nursing Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jan 24, 2022; 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.