GENOA HEALTHCARE, LLC (NPI# 1225418403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225418403 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
425 5th Ave Nw Rm 92 Attalla AL 35954-2214 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 2564134455 |
| Practice Fax Number | 2564134477 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | WILLIAM GUPTAIL (COO) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
113079 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154638 | 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 |
| Street Address |
425 5TH AVE NW RM 92 |
| City | ATTALLA |
| State | AL |
| Zip Code | 35954-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702438 | Amber Thomas | Social Worker | 306 7th Ave Nw, Attalla, AL 35954 | 2019-04-05 |
| 1609900042 | Edwin Scott Cornelius | Pharmacist | 1433 3rd Street S.w, Attalla, AL 35954-0490 | 2007-03-16 |
| 1245344456 | Medi-age Pharmaceuticals Inc | Pharmacy | 1433 3rd St Sw, Attalla, AL 35954-1132 | 2006-08-18 |
| 1053444562 | Ricky Bearden | Pharmacist | 1433 3rd St Sw, Attalla, AL 35954-1132 | 2007-03-13 |
| 1578742128 | Mary Jane Quinn | Developmental Therapist | 708 5th St Nw, Attalla, AL 35954-2007 | 2007-10-31 |
| 1972575819 | Andrew Willcox Reiland | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
| 1699747535 | Debora Susan Reiland | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
| 1417929357 | North Alabama Family Practice, PC | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
| 1215218904 | Renee Michelle Bellew | Counselor | 613 4th St Nw, Attalla, AL 35954-2034 | 2011-09-08 |
| 1285937847 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 404 4th St Nw, Attalla, AL 35954-2203 | 2010-12-20 |
| Find all providers in zip 35954 | ||||
| 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 |
|---|---|---|---|---|
| 1760024947 | Remedi Seniorcare of Alabama, LLC | Pharmacy | 4908 Moores Mill Rd Unit A, Huntsville, AL 35811-1512 | 2019-10-09 |
| 1821646894 | Senior Care Pharmacy Inc | Pharmacy | 101b Villa Dr Ste B-260, Daphne, AL 36526-4653 | 2019-09-03 |
| 1477027720 | Oms Pharmacy, Inc. | Pharmacy | 1800 Mcfarland Blvd E Ste 334, Tuscaloosa, AL 35404-5882 | 2019-01-18 |
| 1235519414 | Genoa Healthcare, LLC | Pharmacy | 2201 Arlington Ave Ste B, Bessemer, AL 35020-4221 | 2015-06-03 |
| 1003296286 | Genoa Healthcare, LLC | Pharmacy | 2520 Fairlane Dr Ste 300, Montgomery, AL 36116-1653 | 2015-06-03 |
| 1902220932 | Medchoice Pharmacy Services, LLC | Pharmacy | 1 Southern Way, Mobile, AL 36619-1210 | 2014-02-11 |
| 1063846673 | Pharmacy Services of Mobile LLC | Pharmacy | 747 Lakeside Dr, Mobile, AL 36693-5113 | 2013-08-30 |
| 1114359817 | Integracare Pharmacy Inc. | Pharmacy | 199 Corporate Woods Dr, Alabaster, AL 35007-4844 | 2013-08-05 |
| 1649619222 | Caredirect Rx of Jackson, LLC | Pharmacy | 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 | 2013-06-18 |
| 1467793661 | Mobile Pharmacy Services LLC | Pharmacy | 1116 I65 Commerce Dr, Mobile, AL 36606-2780 | 2013-03-13 |
| Find all providers with the same taxonomy | ||||
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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.