Provider Demographics
NPI:1982298030
Name:NORTH COAST COMMUNITY HOMES, INC.
Entity type:Organization
Organization Name:NORTH COAST COMMUNITY HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-365-2624
Mailing Address - Street 1:14221 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-1953
Mailing Address - Country:US
Mailing Address - Phone:216-365-2624
Mailing Address - Fax:
Practice Address - Street 1:14221 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-1953
Practice Address - Country:US
Practice Address - Phone:216-365-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies