North Coast Community Homes, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH COAST COMMUNITY HOMES, INC.

Practice address

14221 Broadway Ave
Garfield Heights, OH 44125-1953

Phone

(216) 365-2624

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Karl Driggs

Title

Chief Operating Officer

Phone

(216) 365-2624

Specialties & licenses 1

Addresses

Other names 1

• North Coast Community Homes, Inc. Former legal business name

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1982298030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 BROADWAY AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251953",
            "telephone_number": "216-365-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 BROADWAY AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251953",
            "telephone_number": "216-365-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST COMMUNITY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "DRIGGS",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-365-2624",
        "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 Coast Community Homes, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Garfield Heights, OH
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.