Jace's Place Limited Liability Co.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JACE'S PLACE LIMITED LIABILITY CO.

Practice address

330 Lake Ave Ste 210
Pueblo, CO 81004-2386

Phone

(719) 251-5568

NPI assigned

Nov 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica Martinez

Title

Co-Founder

Phone

(719) 251-5568

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1093580193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LAKE AVE STE 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042386",
            "telephone_number": "719-251-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAKE AVE STE 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042386",
            "telephone_number": "719-251-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACE'S PLACE LIMITED LIABILITY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "719-251-5568"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Iverson
• Pamela Jean Ivey, RN
• J Kevin Johnson MD PC
• J. Valentine Cichon, MD PC
• Ryan D Jaarsma, PSY.D.
• Carla Jean Jackson-Howard, ACNP-BC
• Brittany Oreon Jackson, MBA
• Jaelyn Davette Jackson
• John Mark Jackson
• Kimberley Evelyn Jackson, D.O.

• Developmentally Disabled Services Day Training Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.