JACE INC. (NPI# 1104472224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104472224 |
Entity Type | Organization |
Organization Name | JACE INC. |
Practice Address |
14005 Dunwood Valley Dr Bowie MD 20721-1244 |
Practice Telephone | 2402772814 |
Practice Fax Number | 2403342186 |
Mailing Telephone | 2402772814 |
Mailing Fax Number | 2403342186 |
Enumeration Date | 2019-08-14 |
Last Update Date | 2019-08-14 |
Authorized Official Name | TEMIDAYO AKINSELURE (ADMINISTRATION) |
Authorized Official Telephone | 2402772814 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
Street Address |
14005 DUNWOOD VALLEY DR |
City | BOWIE |
State | MD |
Zip Code | 20721-1244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
Find all providers in zip 20721 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1801496708 | Faye Dockins | Custodial Care Facility | 2409 Roslyn Ave, Baltimore, MD 21216-2208 | 2020-10-29 |
1417518754 | Like Home, Inc. | Custodial Care Facility | 5334 Kerger Rd, Ellicott City, MD 21043-8207 | 2019-06-26 |
1578035028 | The House of Hope, Inc. | Custodial Care Facility | 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | 2018-12-21 |
1043787179 | Anchor Home, Inc | Custodial Care Facility | 5510 Overlook Cir, White Marsh, MD 21162-3414 | 2018-10-26 |
1689108714 | Love To Care Hope To Help | Custodial Care Facility | 5116 Brookwood Rd, Baltimore, MD 21225-3012 | 2017-04-15 |
1942749577 | Adult Day Health, Inc. | Custodial Care Facility | 4001 Seven Mile Ln, Pikesville, MD 21208-6114 | 2017-02-15 |
1033658653 | Adult Day Health, Inc. | Custodial Care Facility | 9135 Guilford Rd Ste 100, Columbia, MD 21046-2579 | 2017-02-15 |
1578913133 | Pioneers Home Care and Services LLC | Custodial Care Facility | 13937 Highstream Pl, Germantown, MD 20874-6164 | 2016-06-15 |
1184098550 | Saint Beckett Home | Custodial Care Facility | 7909 Mandan Rd, Apt 104, Greenbelt, MD 20770-2813 | 2015-11-21 |
1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.