GENOA HEALTHCARE, LLC


Address: 12512 Bruce B Downs Blvd Ste A142, Tampa, FL 33612-9209
Phone: 8133375527

GENOA HEALTHCARE, LLC (NPI# 1346766482) 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) 1346766482
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Other Organization Name GENOA HEALTHCARE
Practice Address 12512 Bruce B Downs Blvd Ste A142
Tampa
FL 33612-9209
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 8133375527
Practice Fax Number 8133275527
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2017-08-21
Last Update Date 2020-03-05
Authorized Official Name WILLIAM GUPTAIL (COO)
Authorized Official Telephone 2532180830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
PH31024 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 023068800 05
PK 2173298 01

Other Provider/Organization Names

Other Name Type Code
Genoa Healthcare Doing Business As Name - Organization

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 12512 BRUCE B DOWNS BLVD STE A142
City TAMPA
State FL
Zip Code 33612-9209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
Find all providers in zip 33612

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
1326656265 Sky City Pharmacy LLC Pharmacy 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 2020-07-16
1477186724 Central Tampa Pharmacy LLC Pharmacy 5010 N 40th St Ste 201, Tampa, FL 33610-5202 2020-02-14
1184069924 Ds Rx LLC Pharmacy 1548 E Fowler Ave, Tampa, FL 33612-5416 2013-05-07
1114235579 Novopharm of Tampa LLC Pharmacy 5404 Hoover Blvd Suite 22, Tampa, FL 33634 2010-09-20
1932420247 Capricorn Healthcare Services LLC Pharmacy 4505 E Hillsborough Ave Ste D&e, Suite D & E, Tampa, FL 33610-5200 2010-06-21
1154554111 Polaris Pharmacy Services of Tampa, LLC Pharmacy 5908 Hampton Oaks Pkwy Ste N, Tampa, FL 33610-9505 2009-08-25
1932310430 Nancy Kathleen Manz Pharmacy 10218 Douglas Oaks Circle, #203, Tampa, FL 33610 2007-05-25
1972615805 Drm Enterprises Pharmacy 4625 N Nebraska Ave, Tampa, FL 33603-4013 2006-08-31
1538104732 Omnicare Pharmacy of Florida, LLC Pharmacy 8603 Florida Mining Blvd, Tampa, FL 33634 2006-06-19
1457973646 Copts LLC Pharmacy 11216 W Hillsborough Ave, Tampa, FL 33635-9719 2020-05-11
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33612

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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