NPIMap

Organization Active NPI

Jubilee Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Avon, OH
National Provider Identifier
1003367111
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JUBILEE HEALTHCARE LLC
Practice address
36711 American Way
Suite a
Avon, OH 44011-4062
Phone
(440) 653-6091
Fax
(440) 653-8089
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mr. Fred Degrandis
Title
President
Phone
(216) 312-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

36711 American Way
Suite a
Avon, OH 44011-4062

Mailing address

36711 American Way
Suite a
Avon, OH 44011-4062
Phone (440) 653-6091

Other names 1

  • North Shore Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jubilee Healthcare LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1003367111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114062",
            "telephone_number": "440-653-6091",
            "fax_number": "440-653-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114062",
            "telephone_number": "440-653-6091",
            "fax_number": "440-653-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "DEGRANDIS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-312-5059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.