GENOA HEALTHCARE OF FLORIDA, LLC (NPI# 1366540239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366540239 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE OF FLORIDA, LLC |
| Other Organization Name | GENOA HEALTHCARE |
| Practice Address |
1437 S Belcher Rd Clearwater FL 33764-2829 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 7275339073 |
| Practice Fax Number | 7275339184 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | RYAN NIEMEYER (CONTROLLER) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH22102 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BG9862447 | 01 | |
| FL | 031630000 | 05 | |
| FL | BOP LICENSE | PH22102 | 01 |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1020356 | 01 |
| Other Name | Type Code |
|---|---|
| Genoa Healthcare | Doing Business As Name - Organization |
| Street Address |
1437 S BELCHER RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33764-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083348 | Ronald H Rempfer Jr. | Psychiatry & Neurology | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2005-06-20 |
| 1669073698 | Fabiola Likaj | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-11-05 |
| 1609476712 | Mandy Kumrits | Social Worker | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-10-28 |
| 1922608074 | Kerri Brown | Social Worker | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-10-28 |
| 1194323576 | Haley Bundy | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-10-16 |
| 1396361812 | Benjamin Pollock | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-06-20 |
| 1669095683 | Maranda Carter | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-05-26 |
| 1851913248 | Nicole Bartell | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-05-08 |
| 1336760404 | Kathleen Carter | Social Worker | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-04-30 |
| 1851930325 | Barrett Cuttino | Counselor | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891904 | Jennifer Rose Whealey | Social Worker | 1437 S. Belcher Rd., Clearwater, FL 33764 | 2020-04-28 |
| 1831740521 | Kasey Coffin | Pharmacist | 1938 Sever Drive, Clearwater, FL 33764 | 2019-09-24 |
| 1053876649 | Jacqueline Armstead | Community Health Worker | 11270 Us Hwy 19 N, Bldg#3 Apt#108, Clearwater, FL 33764 | 2019-02-07 |
| 1215419791 | Linda Susanne Blake | Social Worker | 19029 Us Highway 19 North, Villa 22d, Clearwater, FL 33764 | 2018-08-31 |
| 1770002651 | American Advanced Senior Care LLC | Assisted Living Facility | 2298 Bellaire Road, Clearwater, FL 33764 | 2017-09-12 |
| 1366969016 | Ryan Black | Social Worker | 2100 Nursery Rd. E18, Clearwater, FL 33764 | 2017-08-24 |
| 1710370366 | Susan Arleen Gaddy | Dietitian, Registered | 1340 Weber Drive, Clearwater, FL 33764 | 2015-03-06 |
| 1699108373 | Lori L Fehr | Physician Assistant | 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 | 2013-08-16 |
| 1306287628 | A Tender Touch In Home Services | In Home Supportive Care | 2159 Nursery Rd #314, Clearwater, FL 33764 | 2013-07-15 |
| 1174884134 | Applied Behavior Approaches of Tampa Bay Inc. | Community/Behavioral Health | 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 | 2012-06-06 |
| Find all providers in zip 33764 | ||||
| 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 |
|---|---|---|---|---|
| 1609329978 | Amp Ltcrx LLC | Pharmacy | 30224 Us Highway 19 N, Clearwater, FL 33761-1042 | 2016-08-03 |
| 1760622013 | Scott's Rx Inc | Pharmacy | 2215 N Hercules Ave, Clearwater, FL 33763-2325 | 2009-02-26 |
| 1821509191 | Anv Group LLC | Pharmacy | 30226 Us Highway 19 N, Clearwater, FL 33761-1042 | 2017-10-13 |
| 1891211256 | Baylife Pharmacy Inc | Pharmacy | 1235 S Missouri Ave, Clearwater, FL 33756-9111 | 2017-08-17 |
| 1841572872 | Genoa Healthcare, LLC | Pharmacy | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2011-09-15 |
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| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1811526650 | Careone Pharmacy Services LLC | Pharmacy | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-03 |
| 1982239810 | Wamu LLC | Pharmacy | 85 Cypress Point Pkwy Unit C, Palm Coast, FL 32164-8455 | 2020-03-11 |
| 1477186724 | Central Tampa Pharmacy LLC | Pharmacy | 5010 N 40th St Ste 201, Tampa, FL 33610-5202 | 2020-02-14 |
| 1790317311 | Specialty Rx Fl, LLC | Pharmacy | 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 | 2020-02-11 |
| 1700426970 | Shambhu Inc. | Pharmacy | 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 | 2020-01-15 |
| 1205475175 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 | 2019-12-24 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33764 |
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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.