Laurel Baye Healthcare of Decatur, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

158528 Issued in GA

Legal business name

LAUREL BAYE HEALTHCARE OF DECATUR, LLC

Practice address

3200 Panthersville Rd
Decatur, GA 30034-3831

Phone

(404) 212-3400

NPI assigned

Oct 7, 2005

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Tiller

Title

Cfo

Phone

(843) 216-6800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1326036021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343831",
            "telephone_number": "404-212-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343831",
            "telephone_number": "404-212-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BAYE HEALTHCARE OF DECATUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-216-6800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "158528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000252942A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen G Lascala, DC
• Gary M Laskey, MD
• Porsche D Laster, LPC
• Daniel Lau
• Carrie Brooke Lauchlan, LPC
• Christine A Laurent, RN MSN PHD
• Gorm Porsmose Laursen, D.C.
• Madeleine Laverdure
• Obiageli Laverdure
• Raymond A Lawhead Jr., MD

• Skilled Nursing Facility in Decatur, GA
• Providers in Decatur, 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 Jun 24, 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.