ELEGANT LM MANAGEMENT, LLC (NPI# 1215581756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215581756 |
| Entity Type | Organization |
| Organization Name | ELEGANT LM MANAGEMENT, LLC |
| Practice Address |
1020 Meadowsong Circle Lawrenceville GA 30043 |
| Practice Telephone | 7706766626 |
| Mailing Telephone | 7706766626 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-03 |
| Authorized Official Name | MARITZA LEVY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7706766626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1020 MEADOWSONG CIRCLE |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568940229 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 273 Glenn Ave, Lawrenceville, NJ 08648-3755 | 2018-08-03 |
| 1770099848 | Hi-hope Service Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 882 Hi Hope Rd, Lawrenceville, GA 30043-4543 | 2017-12-27 |
| 1093185589 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Texas Ave, Lawrenceville, NJ 08648-3709 | 2015-09-28 |
| 1902276496 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Hopatcong Dr, Lawrenceville, NJ 08648-4136 | 2015-09-28 |
| 1760851133 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 137 Federal City Rd, Lawrenceville, NJ 08648-1507 | 2015-09-16 |
| 1841671807 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Freedom Ct, Lawrenceville, NJ 08648 | 2015-06-16 |
| 1912388836 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Freedom Blvd, Lawrenceville, NJ 08648-4533 | 2015-06-16 |
| 1114307881 | Allies, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 746 President Ave, Lawrenceville, NJ 08648-4442 | 2015-06-08 |
| 1538580873 | Family Alternatives LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2383 Old Stage Rd, Lawrenceville, VA 23868-2903 | 2014-01-03 |
| 1386980548 | View Point Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 Campbell Gate Rd, Lawrenceville, GA 30045-2314 | 2012-12-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.