Provider Demographics
NPI:1407570328
Name:DGJ VENTURES, LLC
Entity Type:Organization
Organization Name:DGJ VENTURES, LLC
Other - Org Name:BRIGHTSTAR CARE OF GREENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-796-2035
Mailing Address - Street 1:625 LYNNDALE CT STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5463
Mailing Address - Country:US
Mailing Address - Phone:919-796-2035
Mailing Address - Fax:
Practice Address - Street 1:625 LYNNDALE CT STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5463
Practice Address - Country:US
Practice Address - Phone:919-796-2035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care