JUBILEE HEALTHCARE, LLC (NPI# 1629508619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629508619 |
| Entity Type | Organization |
| Organization Name | JUBILEE HEALTHCARE, LLC |
| Other Organization Name | NORTH SHORE HEALTHCARE |
| Practice Address |
5105 Som Center Rd Willoughby OH 44094-4203 |
| Mailing Address |
36711 American Way Ste A Avon OH 44011-4062 |
| Practice Telephone | 2162855115 |
| Mailing Telephone | 4408081222 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | FRED DEGRANDIS (PRESIDENT) |
| Authorized Official Telephone | 2163125059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0192836 | 05 |
| Other Name | Type Code |
|---|---|
| North Shore Healthcare | Doing Business As Name - Organization |
| NorthShore Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206138 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 13170 Ravenna Rd Ste 200, Chardon, OH 44024-7022 | 2018-05-24 |
| 1184148900 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 32730 Walker Rd Ste J, Avon Lake, OH 44012-4100 | 2017-08-02 |
| 1700311610 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3755 Orange Pl, Beachwood, OH 44122-4426 | 2017-04-28 |
| 1487189601 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2017-04-25 |
| 1962937185 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7590 Auburn Rd, Suite 214, Painesville, OH 44077-9176 | 2017-04-25 |
| 1518492040 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1200 Prospect St, Suite 120, Sandusky, OH 44870-3362 | 2017-04-21 |
| 1518410547 | Jubilee Healthcare, LLC | Internal Medicine | 36711 American Way, Suite A, Avon, OH 44011-4062 | 2016-07-26 |
| Street Address |
5105 SOM CENTER RD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437163581 | Robert Schiavone | Pharmacist | 5105 Som Center Rd, Kaiser Pharmacy, Willoughby, OH 44094-4203 | 2006-07-27 |
| 1093104598 | Kimberly Ann Svec | Nurse Practitioner | 5105 Som Center Rd, # 106, Willoughby, OH 44094-4203 | 2015-01-21 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1952728925 | Ashley E Hoffman | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-03-27 |
| 1649607433 | Healthspan Integrated Care | Pediatrics | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2013-10-11 |
| 1114260122 | Tam Pham Mclean | Family Medicine | 5105 Som Center Rd, #106, Willoughby, OH 44094-4203 | 2013-03-28 |
| 1104159862 | Lori A Provenzano | Case Manager/Care Coordinator | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2009-09-14 |
| 1023253143 | Julia Lynn Thomas | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2008-12-03 |
| 1528132800 | Sharon Brady | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-11-20 |
| 1700967254 | Marguerite Ursula Patton | Registered Nurse | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302334 | Pulse Flow Technologies Inc | Durable Medical Equipment & Medical Supplies | 34916 Ridge Rd, Willoughby, OH 44094-4135 | 2015-12-17 |
| 1073876405 | Franklin Works Inc | Durable Medical Equipment & Medical Supplies | 38273 Airport Pkwy, Willoughby, OH 44094-8053 | 2012-06-20 |
| 1811164213 | Aurora Medical Group,inc | Durable Medical Equipment & Medical Supplies | 38150 Airport Pkwy, Suite 2, Willoughby, OH 44094-8013 | 2008-05-14 |
| 1538383773 | Saturdays Shoes Inc | Durable Medical Equipment & Medical Supplies | 36301 Euclid Ave, Willoughby, OH 44094-4414 | 2007-04-12 |
| 1043329378 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 36212 Euclid Avenue, Willoughby, OH 44094-4414 | 2006-08-30 |
| 1952316978 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5881 Som Center Rd, Willoughby, OH 44094-3036 | 2006-07-29 |
| 1821654948 | David A. Demangone LLC | Durable Medical Equipment & Medical Supplies | 6025 Commerce Cir, Willoughby, OH 44094-9694 | 2019-05-14 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1215350392 | Holly's Hearing Aid Center, LLC | Durable Medical Equipment & Medical Supplies | 35104 Euclid Ave, Suite 101, Willoughby, OH 44094-4516 | 2014-01-27 |
| 1043650807 | Medical Device Consulting | Durable Medical Equipment & Medical Supplies | 35104 Euclid Ave, Suite #105, Willoughby, OH 44094-4516 | 2013-06-26 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.