Organization Active NPI

Jace Healthcare, LLC

  • Nursing Care Agency
  • Lawrenceville, GA
National Provider Identifier
1215826029
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Jun 30, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.