GENOA HEALTHCARE, LLC


Address: 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843
Phone: 5209170129

GENOA HEALTHCARE, LLC (NPI# 1639416084) 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) 1639416084
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 630 N Alvernon Way
1st Fl, Suite 161
Tucson
AZ 85711-1843
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 5209170129
Practice Fax Number 5202021910
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2013-01-04
Last Update Date 2020-03-19
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
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Y005743 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2138403 01

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 630 N ALVERNON WAY
1ST FL, SUITE 161
City TUCSON
State AZ
Zip Code 85711-1843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730189655 James M Gillard Emergency Medicine 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2005-07-21
1720568223 Mary Elizabeth Hunter Counselor 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-08-15
1770070732 Andrew Ryan Dorsett Registered Nurse 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-04-16
1417463316 Wade Arden Vero Gage Social Worker 630 N Alvernon Way, Tucson, AZ 85711-1843 2017-12-14
1598201295 Jessica Ganz Nurse Practitioner 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2017-01-18
1396105797 Smsj Tucson Holdings, LLC Radiology 630 N Alvernon Way, Suite 150, Tucson, AZ 85711-1843 2016-02-26
1336556596 Ronald A. Kline, Md., PC Surgery 630 N Alvernon Way, Suite 180, Tucson, AZ 85711-1843 2014-07-18
1174862007 Codac Health, Recovery & Wellness, Inc. Clinic/Center 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843 2013-02-13
1023308962 El Rio Santa Cruz Neighborhood Health Center, Inc Clinic/Center 630 N Alvernon Way, Tucson, AZ 85711-1843 2011-04-12
1831491059 Karen Lynn Modrzejewski Registered Nurse 630 N Alvernon Way, Tucson, AZ 85711 2010-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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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
1336749860 Adepa Pharmacy Pllc Pharmacy 8770 N Thornydale Rd, Tucson, AZ 85742-9096 2020-10-26
1912366774 Pharmcare Usa of Greater Phoenix LLC Pharmacy 1835 S Alvernon Way Ste 202, Tucson, AZ 85711-5693 2016-02-22
1710388384 Pharmacy Care Provider LLC Pharmacy 1135 N Jefferson Ave, Tucson, AZ 85712-5009 2014-09-15
1467464925 Pharmerica Mountain LLC Pharmacy 3700 E Columbia St, Suite 100, Tucson, AZ 85714 2006-08-13
1609256817 Ho Kim Thu PC Pharmacy 5523 E Grant Rd, Tucson, AZ 85712-2209 2015-06-02
1104185131 Genoa Healthcare, LLC Pharmacy 2435 N Castro Ave, Tucson, AZ 85705-5060 2012-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493705 Cd Pharmacy LLC Pharmacy 2710 S Roosevelt St, Tempe, AZ 85282-2089 2020-10-04
1326695545 Lifecare Pharmacy Yuma LLC Pharmacy 2514 South Ave A, Suite 2, Yuma, AZ 85365 2019-08-22
1912312315 East Valley Patient Care Services Pharmacy 218 W Hampton Ave, #4, Mesa, AZ 85210-5231 2014-06-24
1235565581 Guardian Pharmacy of Tucson LLC Pharmacy 10900 N Stallard Pl, Oro Valley, AZ 85737-9544 2013-09-18
1972944221 Genoa Healthcare, LLC Pharmacy 1500 S White Mountain Rd, Bldg 3, Suite 302, Show Low, AZ 85901-7929 2013-07-16
1730422601 Genoa Healthcare, LLC Pharmacy 10240 N 31st Ave Ste 210, Phoenix, AZ 85051-9565 2013-03-29
1093067670 Genoa Healthcare, LLC Pharmacy 15317 W Bell Rd Ste 106, Suite 106, Surprise, AZ 85374-3901 2012-10-08
1811248479 Palliative Pharmacy Partners LLC Pharmacy 1843 E Southern Ave, 102, Tempe, AZ 85282-5831 2012-09-24
1316264716 Bnr Healthcare Corp Pharmacy 1580 N Fiesta Blvd Ste 103, Ste 103, Gilbert, AZ 85233-1032 2010-04-23
1457581365 Valley Pharmacy Pharmacy 2960 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7822 2009-07-27
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Competitor

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City TUCSON
Zip Code 85711

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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