GENOA HEALTHCARE, LLC


Address: 331 Wethersfield Ave Rm 149, Hartford, CT 06114-1420
Phone: 2532180830

GENOA HEALTHCARE, LLC (NPI# 1083233779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083233779
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 331 Wethersfield Ave Rm 149
Hartford
CT 06114-1420
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2532180830
Practice Fax Number 2532174306
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2020-04-13
Last Update Date 2020-04-13
Authorized Official Name WILLIAM ROBERT GUPTAIL (COO)
Authorized Official Telephone 6516890258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972103257 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 2020-10-27
1477153757 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 299 W Railroad Ave Ste P, Crestview, FL 32536-4053 2020-10-27
1033719323 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 2020-10-27
1326648601 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 2020-10-27
1912507211 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 2020-10-27
1760080238 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 2020-10-15
1174121982 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 2020-10-14
1457959272 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 2020-10-14
1811595622 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 2020-10-14
1245844000 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 2020-08-31

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188
Washington State Corporations GENOA HEALTHCARE, LLC 18300 Cascade Ave S # 251, Tukwila, WA 98188
Massachusetts Corporations GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188
Ohio Business Entities GENOA HEALTHCARE, LLC 510 East Main Street, Auburn, WA 98002

Office Location

Street Address 331 WETHERSFIELD AVE RM 149
City HARTFORD
State CT
Zip Code 06114-1420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164912846 Ann-marie Brown Counselor One Congress Street, Suite 210, Hartford, CT 06114 2018-05-17
1154847044 Na Won Lee Dentist 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 2017-08-22
1386188522 Poised Ondemand Case Management 41 Bond Street, Apt 3w, Hartford, CT 06114 2016-12-07
1619377348 Morgan Anamoah Arhin Social Worker 331 Wethersfield Avenue, The Village for Families & Children, Inc., Hartford, CT 06114 2014-08-29
1972835254 Eduardo Rosa Counselor 90 Webster Street, Hartford, CT 06114 2010-02-11
1134314651 Ellen R Bent Counselor 407 Wethersfield Avenue, Hartford, CT 06114 2007-09-07
1124241963 Hemal Vaishnav Physical Therapist 419 Franklin Avenue, Hartford, CT 06114 2007-04-10
1124143003 Nalini Y Masih Pathology Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 2007-03-20
1720121122 Virginia Howell Rittner Pediatrics Ssa, 309 Wawarme Ave, Hartford, CT 06114 2007-02-15
1851432355 Maybelle E Mercado Counselor 901 Wethersfield Ave 2nd Floor, Suite 2l, Hartford, CT 06114 2007-02-09
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629077912 Arrow Prescription Center 14 Inc Pharmacy 100 Woodland St, Hartford, CT 06105-1223 2005-07-19
1609346576 Ssv Pharmacy 1 Pharmacy 500 Farmington Ave, Hartford, CT 06105-3106 2018-12-04
1033687561 Health Care LLC Pharmacy 740 Maple Ave, Hartford, CT 06114-2314 2018-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447898523 Beacon Pharmacy LLC Pharmacy 42 Windsor Ave, Vernon, CT 06066-2438 2019-12-19
1740658889 Evine LLC Pharmacy 54 Tuttle Pl, Middletown, CT 06457-1863 2015-09-07
1992189146 Wassef LLC Pharmacy 535 Boston Post Rd, Old Saybrook, CT 06475-1506 2015-07-17
1558704072 Care 4 U Pharmacy, Inc. Pharmacy 216 Christian Ln, Suite B, Berlin, CT 06037-1450 2013-04-15
1609095868 Danielson Pharmacy Inc Pharmacy 77 A Westcott Rd, Danielson, CT 06239 2007-04-25
1881791093 Value Healthcare Services LLC Pharmacy 525 Knotter Dr, Cheshire Industrial Park, Cheshire, CT 06410-1100 2006-09-20
1851401814 James L. Trifiro Pharmacy 1300 Hopmeadow St, Simsbury, CT 06070-1411 2006-08-30
1336170349 Partners of Connecticut, LLC Pharmacy 6 Thompson Rd, East Windsor, CT 06088-9626 2006-07-06
1780689836 Masonic Healthcare Center Pharmacy 22 Masonic Ave, Wallingford, CT 06492-3048 2005-06-16
1124636469 Nutmeg Pharmacy Moodus LLC Pharmacy 38 William F Palmer Rd, Moodus, CT 06469-1131 2020-07-22
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Competitor

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City HARTFORD
Zip Code 06114

Improve Information

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Dataset Information

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.

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