Provider Demographics
NPI:1235633371
Name:LENUS IN HOME CARE, LLC
Entity Type:Organization
Organization Name:LENUS IN HOME CARE, LLC
Other - Org Name:ON CALL STAFFING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-726-0458
Mailing Address - Street 1:4236 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-1464
Mailing Address - Country:US
Mailing Address - Phone:706-726-0458
Mailing Address - Fax:
Practice Address - Street 1:4236 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-1464
Practice Address - Country:US
Practice Address - Phone:706-726-0458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036-R-1285253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care