JACE HEALTHCARE SERVICES INC
NPI 1245646496
Custodial Care Facility - Adult Care Home in Raleigh, NC

Active since July 09, 2014CLIA Certified · 2 labs
1921 WATERS DR, RALEIGH, NC 27610(919) 760-9013(919) 977-0966 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jace Healthcare Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACE HEALTHCARE SERVICES INC (NPI 1245646496) is a healthcare organization registered as an adult care home in Raleigh, North Carolina and active in the NPI registry since July 2014. The organization holds 2 active CLIA laboratory certificates and lists Justina O Akpom, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245646496
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJACE HEALTHCARE SERVICES INC
Location Address1921 WATERS DRRaleigh, NC 27610-4836
Mailing Address1921 Waters DrRaleigh, NC 27610-4836 · (919) 760-9013 · Fax (919) 977-0966
Fax(919) 977-0966
Organization SubpartNo
Authorized OfficialJustina O AkpomAdministrator · (919) 760-9013
Enumeration DateJuly 9, 2014
NPI 1245646496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · MHL092895
Definition

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.

1921 WATERS DR, Raleigh, NC 27610

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2103442

Jace Healthcare Services, Inc II · Wendell, NC
Active · expires Oct 12, 2027
CLIA Number34D2103442
Laboratory TypeGroup
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorAkpom Justina
Laboratory Phone(919) 760-9013
Laboratory LocationJace Healthcare Services, Inc II502 Anderson Street, Wendell, NC 27591
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2167821

Jace Healthcare Services Inc 111 · Durham, NC
Active · expires Jun 16, 2027
CLIA Number34D2167821
Laboratory TypeAdult Care
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorJustina Akpom
Laboratory Phone(919) 760-9013
Laboratory LocationJace Healthcare Services Inc 1113007 Dearborn Drive, Durham, NC 27704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1921 WATERS DR
RALEIGH, NC 27610
Clinic/Center (Adult Mental Health)
1921 WATERS DR
RALEIGH, NC 27610
Custodial Care Facility (Adult Care Home)
1921 WATERS DR
RALEIGH, NC 27610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jace Healthcare Services Inc's NPI number?

The NPI number for Jace Healthcare Services Inc is 1245646496. It was assigned to this organization in the NPPES registry on July 9, 2014.

Where is Jace Healthcare Services Inc located?

Jace Healthcare Services Inc is located at 1921 Waters Dr, Raleigh, NC 27610. The listed phone number is (919) 760-9013.

What is Jace Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Jace Healthcare Services Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jace Healthcare Services Inc was last updated on July 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.