Jubilee Healthcare, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JUBILEE HEALTHCARE, LLC

Doing business as

North Shore Healthcare

Practice address

36711 American Way
Suite a
Avon, OH 44011-4062

Phone

(440) 653-6091

Fax

(440) 653-8089

NPI assigned

Jul 26, 2016

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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 4

Addresses

Other names 1

• North Shore Healthcare Doing business as

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1518410547",
    "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": "2016-07-26",
        "last_updated": "2017-02-21",
        "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": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammed A Jayber, DO
• John T Webster, DDS, Inc. (Dr. John T Webster, DDS, Inc.)
• Denise A Johnson, RRT
• Sarah M Johnson, DO
• Jubilee Healthcare LLC (North Shore Healthcare)
• Mary M Julius, R.D., C.D.E.
• Patrick Julius
• Mary Jurak
• Matthew Kacir, MD
• Lauren Kacsandi, LISW-S

• Ophthalmology Physician in Avon, OH
• Providers in Avon, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.