EAST LAKE ARBOR
NPI 1295210904
Skilled Nursing Facility in Decatur, GA

Active since September 27, 2018
304 FIFTH AVE, DECATUR, GA 30030(404) 373-6231 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2022, Sep 27, 2018 (2 updates tracked since 2018).

About East Lake Arbor NPPES

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

EAST LAKE ARBOR (NPI 1295210904) is a healthcare organization registered as a skilled nursing facility in Decatur, Georgia and active in the NPI registry since September 2018. The organization lists Gerald Phillip Stoll, Mbr, as its authorized official.

NPPES Registry Identity

NPI1295210904
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGADECATUR SNF LLC
Location Address304 FIFTH AVEDecatur, GA 30030-4812
Mailing Address78 Birchwood DrHuntingtn Sta, NY 11746-3922
Organization SubpartNo
Authorized OfficialGerald Phillip StollMbr · (917) 836-0436
Enumeration DateSeptember 27, 2018
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
NPI 1295210904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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 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

The NPI number assigned to this healthcare provider is 1295210904, enumerated as an "organization" on September 27, 2018.

The provider is located at 304 FIFTH AVE DECATUR, GA 30030 and the phone number is (404) 373-6231.

Skilled Nursing Facility with taxonomy code 314000000X.