GENOA HEALTHCARE, LLC (NPI# 1417465352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417465352 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
140 Route 303 Ste C Valley Cottage NY 10989-5907 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 8453971574 |
| Practice Fax Number | 8452682220 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2018-01-12 |
| 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 | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| 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 |
140 ROUTE 303 STE C |
| City | VALLEY COTTAGE |
| State | NY |
| Zip Code | 10989-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237392 | Aviva Weldon | Social Worker | 991 Sierra Vista Lane, Valley Cottage, NY 10989 | 2020-02-14 |
| 1497201792 | Nighat Afzal | Social Worker | 140 Rout 303, Suit F, Valley Cottage, NY 10989 | 2016-08-28 |
| 1316396484 | Noreen Shimkus | Physical Therapist | 412 Storms Rd, Valley Cottage, NY 10989 | 2016-06-08 |
| 1134585680 | Lissette Rivas | Licensed Practical Nurse | 405 Sierra Vista Lane, Valley Cottage, NY 10989 | 2016-01-13 |
| 1902219124 | Ralph Jacques Alphonse | Licensed Practical Nurse | 533kings Hwy, Valley Cottage, NY 10989 | 2014-06-05 |
| 1750723516 | Noel Teresa Delgado | Licensed Practical Nurse | 137 New York Route 303, Box 13, Valley Cottage, NY 10989 | 2013-07-22 |
| 1497078943 | Tulasi Malla | Pharmacist | 33 Route 303, Valley Cottage, NY 10989 | 2010-03-11 |
| 1083881643 | Sonia C Reines | Social Worker | 336 Old Mill Rd, Valley Cottage, NY 10989 | 2008-05-13 |
| 1952582520 | Siobhan P Lamasney | Nurse Practitioner | 695 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-11-23 |
| 1841412194 | Cheryl Cohen | Occupational Therapist | 313 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-05-03 |
| Find all providers in zip 10989 | ||||
| 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 |
|---|---|---|---|---|
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1326684069 | Procare Ltc of Syracuse, LLC | Pharmacy | 621 E Brighton Ave, Syracuse, NY 13210-4254 | 2019-11-18 |
| 1376108670 | Bh Drug Corp | Pharmacy | 8780a Sutphin Blvd, Jamaica, NY 11435-3342 | 2019-05-02 |
| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY COTTAGE |
| Zip Code | 10989 |
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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.