Jubilee Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JUBILEE HEALTHCARE, LLC

Practice address

7590 Auburn Rd
Suite 214
Painesville, OH 44077-9176

Phone

(844) 774-6328

Fax

(440) 459-1764

NPI assigned

Apr 25, 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

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1962937185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "address_2": "SUITE 214",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "844-774-6328",
            "fax_number": "440-459-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "address_2": "SUITE 214",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "844-774-6328",
            "fax_number": "440-459-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "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"
        }
    ]
}

• John H Paul M D Inc
• Joshua Kaled Johnson
• Shirley M Johnson, OTR/L
• Jennifer Johnston
• Christine Jordan, M.D.
• Clarissa S Kaczmarek, LMT
• Danielle Joaquina Kaczmarek, LMT
• Brian Jeffery Kane, OD
• Jessica Ann Kantola, PHARMD
• Joy Allison Kardos, COTA

• Durable Medical Equipment & Medical Supplies in Painesville, OH
• Providers in Painesville, 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 25, 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.