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NORTH SHORE HEALTHCARE
NPI 1629508619
Durable Medical Equipment & Medical Supplies in Willoughby, OH

Active since June 13, 2017
5105 SOM CENTER RD, WILLOUGHBY, OH 44094(216) 285-5115 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Jun 13, 2017 (2 updates tracked since 2017).

About North Shore Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE HEALTHCARE (NPI 1629508619) is a healthcare organization registered as a durable medical equipment & medical supplies in Willoughby, Ohio and active in the NPI registry since June 2017. The organization lists Fred Degrandis, President, as its authorized official.

NPPES Registry Identity

NPI1629508619
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJUBILEE HEALTHCARE, LLC
Location Address5105 SOM CENTER RDWilloughby, OH 44094-4203
Mailing Address36711 American Way Ste AAvon, OH 44011-4062 · (440) 808-1222
Phone(216) 285-5115
Organization SubpartNo
Authorized OfficialFred DegrandisPresident · (216) 312-5059
Enumeration DateJune 13, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1629508619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
5105 SOM CENTER RD, Willoughby, OH 44094
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Other Names 2

Doing Business AsNorth Shore Healthcare
Doing Business AsNorthshore Healthcare

Other Identifiers 1

Medicaid0192836OH

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY GRACE PURISIMA M.D.
Internal Medicine
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
DR. JAMES SCOTT LANE M.D.
Ophthalmology
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
JULIA LYNN THOMAS
Pharmacist
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 953-5711
HEALTHSPAN PHYSICIANS, LLC
Durable Medical Equipment & Medical Supplies
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 953-5774
KIMBERLY ANN SVEC FNP-C
Nurse Practitioner (Family)
5105 SOM CENTER RD, # 106
WILLOUGHBY, OH 44094
Lake County (440) 953-5740
LORI A PROVENZANO
Case Manager/Care Coordinator
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 975-4646
TAM PHAM MCLEAN
Family Medicine
5105 SOM CENTER RD, #106
WILLOUGHBY, OH 44094
Lake County (440) 953-5740
MRS. LAURIE L DEMETER RPH
Pharmacist
5105 SOM CENTER RD, PHARMACY
WILLOUGHBY, OH 44094
Lake County (440) 667-1077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jubilee Healthcare, LLC's NPI number?

The NPI number for Jubilee Healthcare, LLC is 1629508619. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as North Shore Healthcare and NorthShore Healthcare.

Where is Jubilee Healthcare, LLC located?

Jubilee Healthcare, LLC is located at 5105 Som Center Rd, Willoughby, OH 44094. The listed phone number is (216) 285-5115.

What is Jubilee Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jubilee Healthcare, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.