JACE HEALTHCARE SERVICES INC (NPI# 1992111587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992111587 |
| Entity Type | Organization |
| Organization Name | JACE HEALTHCARE SERVICES INC |
| Practice Address |
1921 Waters Dr Raleigh NC 27610-4836 |
| Practice Telephone | 9197609013 |
| Mailing Telephone | 9197609013 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | JUSTINA O AKPOM (ADMINISTRATOR) |
| Authorized Official Telephone | 9197609013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL092895 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245646496 | Jace Healthcare Services Inc | Custodial Care Facility | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2014-07-09 |
| Street Address |
1921 WATERS DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322725 | Ifeoma Umelo | Clinic/Center | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2019-12-10 |
| 1467099341 | Twinkle-star Home Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2019-12-10 |
| 1245646496 | Jace Healthcare Services Inc | Custodial Care Facility | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1548750516 | Alpha Residential Services LLC | Custodial Care Facility | 5842 Faringdon Pl Ste 2, Raleigh, NC 27609-3930 | 2018-05-15 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1437501863 | Matrone Primary Care | Custodial Care Facility | 2412 Windsor Trl, Raleigh, NC 27615-1200 | 2016-07-09 |
| 1861863805 | Second Touch LLC | Custodial Care Facility | 2528 1/2 Poole Rd, Raleigh, NC 27610-2820 | 2015-10-16 |
| 1669862074 | Novelty Healthcare Services Inc | Custodial Care Facility | 4004 Beaufain St, Raleigh, NC 27604-5072 | 2015-01-24 |
| 1184021131 | Esliker Samuels Inc. | Custodial Care Facility | 7305 Perry Creek Rd, Raleigh, NC 27616-6439 | 2014-11-19 |
| 1801225958 | Pioneer Healthcare Inc. | Custodial Care Facility | 3417 Pritchard Ct, Raleigh, NC 27616-8972 | 2013-11-08 |
| 1265868228 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 3321 Princeton Mill Pkwy, Raleigh, NC 27612-5518 | 2013-09-23 |
| 1619303252 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 851 Hadley Rd, Raleigh, NC 27610-4716 | 2013-09-14 |
| Find all providers in RALEIGH | ||||
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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.