GENOA HEALTHCARE, LLC (NPI# 1699008649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699008649 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
25 E Salem St Hackensack NJ 07601-7427 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 2015465839 |
| Practice Fax Number | 2014871935 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2020-03-11 |
| 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 | NJ | Suppliers | |
| N | 333600000X | Pharmacy | NJ | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0224511 | 05 | |
| NJ | DEA | FG5570658 | 01 |
| BOP LICENSE | 28RS00697100 | 01 | |
| NCPDP | 3196462 | 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 |
| Street Address |
25 E SALEM ST |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306090741 | North Hudson Community Action Corporation | Clinic/Center | 25 E Salem St, Hackensack, NJ 07601-7427 | 2008-11-12 |
| 1508327339 | Eric Latzman | Counselor | 25 E Salem St, Hackensack, NJ 07601-7427 | 2019-03-26 |
| 1295240158 | Comprehensive Behavioral Healthcare, Inc. | Respite Care | 25 E Salem St, Hackensack, NJ 07601-7427 | 2017-12-13 |
| 1568977429 | Comprehensive Behavioral Healthcare, Inc. | Case Management | 25 E Salem St, Hackensack, NJ 07601-7427 | 2017-12-13 |
| 1134638794 | Comprehensive Behavioral Healthcare, Inc. | Home Health | 25 E Salem St, Hackensack, NJ 07601-7427 | 2017-09-27 |
| 1073944898 | Amedisys Private Duty, LLC | Registered Nurse | 25 E Salem St, Hackensack, NJ 07601-7427 | 2013-12-04 |
| 1407112386 | Avenir Palliative Care, PC | Nurse Practitioner | 25 E Salem St, 2nd Floor, Hackensack, NJ 07601-7427 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| 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 |
|---|---|---|---|---|
| 1326652686 | Worthkap Inc | Pharmacy | 1581 County Road 517 Village Square Mall, Allamuchy Township, NJ 07820 | 2020-09-03 |
| 1386271989 | Clifton Drugs LLC | Pharmacy | 859 Clifton Ave, Clifton, NJ 07013-1715 | 2020-03-24 |
| 1386270742 | East Orange Pharmacy Evergreeen LLC | Pharmacy | 60 Evergreen Pl Ste 104, East Orange, NJ 07018-2114 | 2020-03-18 |
| 1881238673 | Hmh Residential Care, Inc | Pharmacy | 34 Industrial Way E, Eatontown, NJ 07724-3319 | 2019-11-05 |
| 1518517085 | Integrated Medication Management | Pharmacy | 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725 | 2019-09-17 |
| 1063067767 | Dsp Pharmacy LLC | Pharmacy | 1071 Rte 37 W Unit 10, Toms River, NJ 08755-5026 | 2019-08-08 |
| 1922653138 | Jems Pharma LLC | Pharmacy | 301 High St, Burlington, NJ 08016-4411 | 2019-08-05 |
| 1073165403 | Quick Mart Pharmacy & Convenience LLC | Pharmacy | 100 Ryders Ln Ste 5, Milltown, NJ 08850-1263 | 2019-07-16 |
| 1083271498 | Rapps Ltc Pharmacy, LLC | Pharmacy | 1510 Park Ave Ste 104, South Plainfield, NJ 07080-5521 | 2019-05-21 |
| 1669038162 | Tarrytown Expocare Nj, LLC | Pharmacy | 281 Us Highway 46 Ste 100, Elmwood Park, NJ 07407-2419 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.