NPIMap

Organization Active NPI

Jace Healthcare Services Inc

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1245646496
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MHL092895 Issued in NC
Legal business name
JACE HEALTHCARE SERVICES INC
Practice address
1921 Waters Dr
Raleigh, NC 27610-4836
Phone
(919) 760-9013
Fax
(919) 977-0966
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Justina O Akpom
Title
Administrator
Phone
(919) 760-9013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL092895 NC Primary

Addresses

Primary practice location

1921 Waters Dr
Raleigh, NC 27610-4836

Mailing address

1921 Waters Dr
Raleigh, NC 27610-4836
Phone (919) 760-9013

National Provider Directory

National Provider Directory
Tax ID family
Jace Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1245646496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WATERS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104836",
            "telephone_number": "919-760-9013",
            "fax_number": "919-977-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WATERS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104836",
            "telephone_number": "919-760-9013",
            "fax_number": "919-977-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "AKPOM",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-760-9013"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL092895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.