EAST LAKE ARBOR
NPI 1083680094
Skilled Nursing Facility in Decatur, GA

Active since February 28, 2006CLIA 11D0703829 · Waiver
304 FIFTH AVE, DECATUR, GA 30030(404) 373-6231(404) 373-6813 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Lake Arbor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST LAKE ARBOR (NPI 1083680094) is a healthcare organization registered as a skilled nursing facility in Decatur, Georgia and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lee Karschner, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083680094
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEASTLAKE ARBOR HEALTH CARE, INC.
Location Address304 FIFTH AVEDecatur, GA 30030-4812
Mailing Address304 Fifth AveDecatur, GA 30030-4812 · (404) 373-6231 · Fax (404) 373-6813
Fax(404) 373-6813
Organization SubpartNo
Authorized OfficialLee KarschnerDirector Of Operations · (770) 939-8720
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 18, 2008
NPI 1083680094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 10441435
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
304 FIFTH AVE, Decatur, GA 30030

Other Names 1

Doing Business AsEast Lake Arbor

Other Identifiers 2

Medicaid000140137AGA
Medicare ID-Type Unspecified115482GA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0703829

East Lake Arbor · Decatur, GA
Active · expires Aug 31, 2026
CLIA Number11D0703829
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrew Frinks
Laboratory Phone(404) 373-6231
Laboratory LocationEast Lake Arbor304 Fifth Ave, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
304 FIFTH AVE
DECATUR, GA 30030
Skilled Nursing Facility
304 FIFTH AVE
DECATUR, GA 30030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastlake Arbor Health Care, Inc.'s NPI number?

The NPI number for Eastlake Arbor Health Care, Inc. is 1083680094. It was assigned to this organization in the NPPES registry on February 28, 2006. The provider is doing business as East Lake Arbor.

Where is Eastlake Arbor Health Care, Inc. located?

Eastlake Arbor Health Care, Inc. is located at 304 Fifth Ave, Decatur, GA 30030. The listed phone number is (404) 373-6231.

What is Eastlake Arbor Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Eastlake Arbor Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0703829) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastlake Arbor Health Care, Inc. was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.