GENOA HEALTHCARE, LLC (NPI# 1518507755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518507755 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2007 State St Ste 110 Washington IN 47501-8505 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 8126104415 |
| Practice Fax Number | 8126694125 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2020-01-15 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 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 |
| Vermont Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Street Address |
2007 STATE ST STE 110 |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| 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 |
|---|---|---|---|---|
| 1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
| 1811433378 | Peoples Drug Store | Pharmacy | 1638 R St Nw, Suite 1, Washington, DC 20009-6446 | 2017-01-09 |
| 1285804229 | Pharmacy Corporation of America | Pharmacy | 505 Hackney Ave, Washington, NC 27889-4230 | 2008-03-05 |
| 1720147630 | The Mae Corporation | Pharmacy | 833 Kennedy Street Nw, Washington, DC 20011 | 2006-12-06 |
| 1558994137 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009-2059 | 2020-02-21 |
| 1679118038 | Matrix Corporation | Pharmacy | 3839 Minnesota Ave Ne, Washington, DC 20019-2660 | 2019-11-08 |
| 1730723693 | Matrix Corporation | Pharmacy | 210 Michigan Ave Ne, Washington, DC 20017-1005 | 2019-11-04 |
| 1285100214 | Washington Pharmacy Inc | Pharmacy | 227 C St, Washington, KS 66968-1906 | 2018-10-17 |
| 1265682256 | Thompson & Thompson Long Term Care | Pharmacy | 222 S Iowa Ave, Suite B, Washington, IA 52353-1736 | 2008-09-25 |
| 1700940160 | Curtis Pharmacy Long Term Care Services | Pharmacy | 1100 W Chestnut St, Washington, PA 15301-4631 | 2006-12-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
Please comment or provide details below to improve the information on GENOA HEALTHCARE, LLC.
| 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.