Active NPI
Jace Healthcare, LLC
- Nursing Care Agency
- Lawrenceville, GA
National Provider Identifier
1215826029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- JACE HEALTHCARE, LLC
- Practice address
- 1883 Wilson Manor Cir
Lawrenceville, GA 30045-3743 - Phone
- (404) 512-5141
- NPI assigned
- Jun 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ijeoma Echetabu
- Title
- Organizer
- Phone
- (404) 512-5141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
1883 Wilson Manor Cir
Lawrenceville, GA 30045-3743
Mailing address
1883 Wilson Manor Cir
Lawrenceville, GA 30045-3743
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1215826029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1883 WILSON MANOR CIR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 WILSON MANOR CIR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453743",
"telephone_number": "404-512-5141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACE HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A",
"authorized_official_last_name": "ECHETABU",
"authorized_official_first_name": "IJEOMA",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "404-512-5141"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.