Provider Demographics
NPI:1821582503
Name:PELAGIE FOUNDATION LTD
Entity type:Organization
Organization Name:PELAGIE FOUNDATION LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIST-LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZAIRE-GANTHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-356-6285
Mailing Address - Street 1:2055 GEES MILL RD NE STE 326
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1364
Mailing Address - Country:US
Mailing Address - Phone:470-356-6285
Mailing Address - Fax:
Practice Address - Street 1:2055 GEES MILL RD NE STE 326
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1364
Practice Address - Country:US
Practice Address - Phone:470-356-6285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA177F00000X, 101YP1600X, 174200000X, 253Z00000X
171R00000X, 251E00000X, 261QM0850X, 251V00000X, 261Q00000X, 261QR0401X, 332B00000X, 343900000X, 347C00000X, 261QP2300X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No177F00000XOther Service ProvidersLodgingGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care