GENOA HEALTHCARE, LLC (NPI# 1508272816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272816 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
905 Nebraska Ave Ste Q Toledo OH 43607-4222 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 5676948570 |
| Practice Fax Number | 4192591238 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | WILLIAM ROBERT GUPTAIL (COO) |
| Authorized Official Telephone | 6516890258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PMY.022428150-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146645 | 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 |
905 NEBRASKA AVE STE Q |
| City | TOLEDO |
| State | OH |
| Zip Code | 43607-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815344 | Kelsey Anne Gruenhagen | Social Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2013-08-18 |
| 1932708336 | Angela Sinn | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-10-19 |
| 1558960955 | Kathy F Dadzie | Peer Specialist | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-10-19 |
| 1851909923 | Erin Irene Husting | Social Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-07-15 |
| 1023630613 | Sarah Jolliff | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-05-18 |
| 1932721529 | Sharon Marie O'neal | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-05-18 |
| 1841812435 | Antonio S Stuart | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-05-18 |
| 1225650427 | James E Nix IIi | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-05-11 |
| 1902440894 | Sierra Dawn Gifford | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2019-11-04 |
| 1841832672 | Ioana Livia Popa-simil | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922583459 | Binetta Deshun Griffin | Licensed Practical Nurse | 410 N Westwood, Toledo, OH 43607 | 2018-10-01 |
| 1780100644 | Elisha Mitchell | Day Training, Developmentally Disabled Services | 112 Bloomfield Ave., Toledo, OH 43607 | 2017-08-22 |
| 1275062333 | Jonnise Aldridge | Counselor | 2447 Nebraska, Toledo, OH 43607 | 2017-06-12 |
| 1053848663 | Gerald Hoskins | Counselor | 1311 Fernwood Ave, Toledo, OH 43607 | 2017-05-12 |
| 1639454853 | Amber Monet Smith | Licensed Practical Nurse | 15 Bloomfield, Toledo, OH 43607 | 2011-10-19 |
| 1326363805 | Apple A Day Healthcare Services,llc | Eyewear Supplier (Equipment, not the service) | 47 North Westwood Avenue, Toledo, OH 43607 | 2010-03-29 |
| 1689904088 | Alicia Y Stasher | Licensed Practical Nurse | 55 San Rafael, Toledo, OHIO 43607 | 2010-01-06 |
| 1891163424 | Brittany Flory | Speech-Language Pathologist | 3001 Hill Ave, Toledo, OH 43607 | 2015-09-14 |
| 1710173000 | Jennifer Bretl | Physician Assistant | 2213 Cherry St, Toledo, OH 43607 | 2007-09-20 |
| 1619588787 | Promedica Physicians At Home, LLC | Special Hospital | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-12 |
| Find all providers in zip 43607 | ||||
| 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 |
|---|---|---|---|---|
| 1659911105 | Pillbox Pharmacy, LLC | Pharmacy | 324 Main St Ste B, Toledo, OH 43605-2038 | 2020-01-13 |
| 1538253943 | Madsen Inc | Pharmacy | 108 2nd Ave W, Toledo, IA 52342-2140 | 2006-10-03 |
| 1871601245 | Kam International Inc | Pharmacy | 3103 Lagrange St, Toledo, OH 43608-1801 | 2006-08-27 |
| 1487692935 | Heartland Healthcare Services LLC | Pharmacy | 4755 South Ave, Toledo, OH 43615-6422 | 2006-06-04 |
| 1730786559 | Accessrx LLC | Pharmacy | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-05 |
| 1912524554 | Franklin Park Pharmacy LLC | Pharmacy | 4026 Secor Rd Ste 2, Toledo, OH 43623-4270 | 2020-06-30 |
| 1770504748 | Sisters of Notre Dame of Toledo | Pharmacy | 3837 Secor Rd, Toledo, OH 43623-4402 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323162 | East Ohio Regional Hospital | Pharmacy | 90 N 4th Street, Martins Ferry, OH 43935 | 2020-10-13 |
| 1083228852 | Harvest Grove Ltc LLC | Pharmacy | 10335 S Medallion Dr, Cincinnati, OH 45241-4825 | 2020-08-31 |
| 1801416789 | Pill Box Inc | Pharmacy | 1400 Sr 125, Amelia, OH 45102-2650 | 2020-04-21 |
| 1386271591 | Easterday Pharmacy LLC | Pharmacy | 1696 S. Arch Ave, Alliance, OH 44601 | 2020-03-26 |
| 1053967364 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd Ste 103, Worthington, OH 43085-3336 | 2019-08-13 |
| 1629639281 | Hhc Enterprises Inc | Pharmacy | 1451 Yauger Rd Ste 1h, Mount Vernon, OH 43050-7902 | 2019-06-25 |
| 1639730369 | Pharm Investco LLC | Pharmacy | 434 Alexandersville Rd, Miamisburg, OH 45342-3658 | 2019-06-24 |
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1760963326 | Fitzgerald Seaman Pharmacy | Pharmacy | 17860 St Rt 247, Seaman, OH 45679 | 2018-08-22 |
| 1841797073 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste F, Brecksville, OH 44141-3366 | 2018-04-13 |
| 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.