Laurel Baye Healthcare of Lake Lanier, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10671659 Issued in GA

Legal business name

LAUREL BAYE HEALTHCARE OF LAKE LANIER, LLC

Practice address

2451 Peachtree Industrial Blvd
Buford, GA 30518-2418

Phone

(770) 614-2800

NPI assigned

Jan 9, 2008

Reactivated

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kylie S Grieco

Title

Controller

Phone

(843) 216-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Laurel Baye Healthcare of Lake Lanier2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pruitthealth - Lanier, LLC

  • Skilled Nursing Facility
  • Buford, GA
  • NPI 1043549835
  NPD tax ID

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1215112255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 PEACHTREE INDUSTRIAL BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182418",
            "telephone_number": "770-614-2800",
            "fax_number": "770-932-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 PEACHTREE INDUSTRIAL BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182418",
            "telephone_number": "770-614-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BAYE HEALTHCARE OF LAKE LANIER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-07-21",
        "deactivation_date": "2008-08-18",
        "reactivation_date": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "GRIECO",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "843-216-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10671659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140456A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanier Medcare,P.C.
• Carly Lanier, PT, DPT
• Idalid Lara
• Heather Dayne Largo, NP-C
• Raequel Larkins Cunningham
• Samantha Laurent
• Ashleigh M Lawhorn, BT
• Jennifer Nguyen Le, PA-C
• Marian Leach, PA-C, ATC
• Bo Ryung Lee, MD

• Skilled Nursing Facility in Buford, GA
• Providers in Buford, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.