Provider Demographics
NPI:1225381338
Name:LEI VENTURES,LLC
Entity Type:Organization
Organization Name:LEI VENTURES,LLC
Other - Org Name:GENTLE TOUCH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:EPHAISIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-286-2222
Mailing Address - Street 1:1058 W CLUB BLVD
Mailing Address - Street 2:220A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1104
Mailing Address - Country:US
Mailing Address - Phone:919-286-2222
Mailing Address - Fax:919-794-5745
Practice Address - Street 1:1058 W CLUB BLVD
Practice Address - Street 2:220A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1104
Practice Address - Country:US
Practice Address - Phone:919-286-2222
Practice Address - Fax:919-794-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4054253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1932425642Medicaid