Provider Demographics
NPI:1013715416
Name:JACE TRUSTING HANDS LLC
Entity type:Organization
Organization Name:JACE TRUSTING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GBENADE
Authorized Official - Middle Name:K
Authorized Official - Last Name:EDOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-706-8625
Mailing Address - Street 1:7737 GREENLEAF DR
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2767
Mailing Address - Country:US
Mailing Address - Phone:402-706-8625
Mailing Address - Fax:
Practice Address - Street 1:4611 S 96TH ST STE 235
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1243
Practice Address - Country:US
Practice Address - Phone:402-706-8625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child