Provider Demographics
NPI:1760344147
Name:JACE HOMECARE LLC
Entity type:Organization
Organization Name:JACE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANNIPHER
Authorized Official - Middle Name:WAMBUI
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:508-565-8645
Mailing Address - Street 1:61 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-2215
Mailing Address - Country:US
Mailing Address - Phone:508-565-8645
Mailing Address - Fax:508-573-7057
Practice Address - Street 1:61 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:MA
Practice Address - Zip Code:01504-2215
Practice Address - Country:US
Practice Address - Phone:508-565-8645
Practice Address - Fax:508-573-7057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home