GENOA HEALTHCARE, LLC (NPI# 1124320080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124320080 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2 Old County Rd Barrington RI 02806-1600 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 4012374125 |
| Practice Fax Number | 4019030105 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | WILLIAM GUPTAIL (COO) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PENDING | RI | Suppliers |
| N | 333600000X | Pharmacy | PENDING | RI | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PENDING | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | GH83725 | 05 | |
| NCPDP | 4107416 | 01 | |
| RI | DEA | FG5295882 | 01 |
| RI | BOP LICENSE | PHA00570 | 01 |
| 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 |
| 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 |
| Vermont Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Street Address |
2 OLD COUNTY RD |
| City | BARRINGTON |
| State | RI |
| Zip Code | 02806-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444636 | Catherine E Chase | Psychiatry & Neurology | 2 Old County Rd, Barrington, RI 02806-1600 | 2005-11-15 |
| 1053923136 | Linda Jean Soares | Registered Nurse | 2 Old County Rd, Barrington, RI 02806-1600 | 2020-08-19 |
| 1316565070 | Margo Christine Tuzzo | Registered Nurse | 2 Old County Rd, Barrington, RI 02806-1600 | 2020-07-09 |
| 1972122208 | Lynn M Matos | Registered Nurse | 2 Old County Rd, Barrington, RI 02806-1600 | 2020-04-16 |
| 1700425956 | Kiana Lopes | Counselor | 2 Old County Rd, Barrington, RI 02806-1600 | 2020-01-04 |
| 1215573142 | Alisha Lachmi Shankar | Registered Nurse | 2 Old County Rd, Barrington, RI 02806-1600 | 2019-11-26 |
| 1144701301 | Miranda Dapont | Registered Nurse | 2 Old County Rd, Barrington, RI 02806 | 2018-08-27 |
| 1538660642 | Caroline Burns | Registered Nurse | 2 Old County Rd, Barrington, RI 02806-1600 | 2018-02-23 |
| 1639677818 | Katie Godwin | Counselor | 2 Old County Rd, Barrington, RI 02806-1600 | 2018-01-23 |
| 1376051144 | Leanne Craven | Counselor | 2 Old County Rd, Barrington, RI 02806-1600 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528486412 | Karen Ann Zeltzer | Dietitian, Registered | 75 Chachapacassett Rd., Barrington, RI 02806 | 2014-03-28 |
| 1609164144 | The Fogarty Center | Day Training, Developmentally Disabled Services | 310 Maple Avenue, Suite 102, Barrington, RI 02806 | 2011-07-19 |
| 1306035779 | Barrington Family Medicine | Family Medicine | Barrington Family Medicine, 60 Bay Spring Ave, Unit B1, Barrington, RI 02806 | 2007-10-22 |
| 1124158589 | Matthew R Asaro | Dentist | 141 County Road, Barrington, RI 02806 | 2007-03-06 |
| 1528118288 | Cynthia Ann Capra | Nurse Practitioner | 13 Brown St., Brown University, Providence, RI 02806 | 2007-01-12 |
| 1881762938 | Elaine M Felag | Durable Medical Equipment & Medical Supplies | 290 County Rd, Barrington, RI 02806 | 2006-11-30 |
| 1396814703 | Cynthia J Jones | Counselor | 750 East Avenue, Pawtucket, RI 02806 | 2006-11-07 |
| 1043393176 | Hollis Vale Burkhart | Counselor | 60 Bay Spring Ave., Pathways Wellness Center Suite B1, Barrington, RI 02806 | 2006-10-23 |
| 1811085426 | Dr Diane E King Md Inc | Psychiatry & Neurology | 233 Waseca Ave, Barrington, RI 02806 | 2006-10-10 |
| 1972696003 | Melissa Lapine Curran | Nurse Practitioner | 234 Maple Avenue, Barrington, RI 02806 | 2006-10-02 |
| Find all providers in zip 02806 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125047 | Personifilrx New England, LLC | Pharmacy | 225 Metro Center Blvd, Warwick, RI 02886-1783 | 2020-02-06 |
| 1306297098 | Woodmark Pharmacy of Rhode Island, LLC | Pharmacy | 114 Minnesota Ave, Warwick, RI 02888-6026 | 2016-06-24 |
| 1437282803 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 65 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1447320056 | Asco Healthcare of New England Limited Partnership | Pharmacy | 30 Centre of New England Blvd, Coventry, RI 02816-6068 | 2006-11-09 |
| 1740820984 | Mcquade's Marketplace Pharmacy | Pharmacy | 106 Main St., Westerly, RI 02891 | 2020-01-15 |
| 1225695760 | Casmer | Pharmacy | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-21 |
| 1053975102 | Green Line Apothecary of Providence LLC | Pharmacy | 905 N Main St, Providence, RI 02904-5744 | 2019-04-24 |
| 1821572280 | Simpson's Pharmacy | Pharmacy | 10 Newport Ave, Pawtucket, RI 02861-4497 | 2018-09-21 |
| 1174843544 | Genoa Healthcare, LLC | Pharmacy | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2010-06-08 |
| 1639380553 | Genoa Healthcare, LLC | Pharmacy | 103 Bacon St, Pawtucket, RI 02860-5542 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | BARRINGTON |
| Zip Code | 02806 |
Please comment or provide details below to improve the information on GENOA HEALTHCARE, LLC.
| 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.