LBC Stockbridge LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LBC STOCKBRIDGE LLC

Doing business as

Monarch Villa at Stockbridge

Practice address

100 Monarch Village Way
Stockbridge, GA 30281-9148

Phone

(770) 376-6753

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By 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

Gregg Fox

Title

Vice President of Operations

Phone

(651) 342-2780

Specialties & licenses 1

Addresses

Other names 1

• Monarch Villa at Stockbridge Doing business as

Locations

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1588327167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2301",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822301",
            "telephone_number": "651-342-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONARCH VILLAGE WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819148",
            "telephone_number": "770-376-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBC STOCKBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "651-342-2780"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Villa at Stockbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donnisha M Lavigne, LPC
• Latasha Lawrence
• Shennelle Lawrence, LPN
• Kianna Lawson, PA-C
• William Logan Layfield, PA-C
• Kaelyn Leaphart
• Steven W Leard, M.D.
• Alexander Lee
• Benjamin C Lee, M.D.
• Eun Jung Lee, CAA

• Assisted Living Facility in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.