Jubilee Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JUBILEE HEALTHCARE, LLC

Doing business as

North Shore Healthcare

Practice address

3755 Orange PL
Beachwood, OH 44122-4426

Phone

(844) 469-7669

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Fred Degrandis

Title

President

Phone

(216) 312-5059

Specialties & licenses 1

Addresses

Other names 1

• North Shore Healthcare Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Northeast Ohio Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Orange Village, OH
  • NPI 1891793915

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1700311610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224426",
            "telephone_number": "844-463-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224426",
            "telephone_number": "844-469-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "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"
    },
    "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"
        }
    ]
}

• Michelle C Jordan-Gonzalez, DMD
• Sandra M Jordan, LISW
• Jay Michael Joseph, DDS
• Vinod Shankar Joshi, M.D.
• Julie Christin Jubak, DNP,FNP-BC
• Amanda Lee Junkin, O.D.
• Dan Kadily
• Amber Kadouri Sanda
• Mohammedanas Kadri
• Kahle Nutrition & Chiropractic LLC

• Durable Medical Equipment & Medical Supplies in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.