Healthcare Provider Details
I. General information
NPI: 1932425642
Provider Name (Legal Business Name): LEI VENTURES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2010
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1530 N GREGSON ST STE 3D
DURHAM NC
27701-1164
US
IV. Provider business mailing address
1530 N GREGSON ST STE 3D
DURHAM NC
27701-1164
US
V. Phone/Fax
- Phone: 919-286-2222
- Fax: 919-794-5745
- Phone: 919-286-2222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | HC4054 |
| License Number State | NC |
VIII. Authorized Official
Name:
LUCKY
IHENYEN
Title or Position: CEO
Credential:
Phone: 919-491-5382