GENOA HEALTHCARE, LLC (NPI# 1770828212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770828212 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
201 N Eugene St Greensboro NC 27401-2221 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 3362525608 |
| Practice Fax Number | 3362798987 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2020-03-25 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
12587 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138145 | 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 |
201 N EUGENE ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911989 | Kumbaiah N Murthy | Psychiatry & Neurology | 201 N Eugene St, Greensboro, NC 27401-2221 | 2005-09-07 |
| 1568989465 | Troy Mccollum Duncan | Nurse Practitioner | 201 N Eugene St, Greensboro, NC 27401-2221 | 2017-08-23 |
| 1750735825 | Fred Amematsro | Nurse Practitioner | 201 N Eugene St, Greensboro, NC 27401-2221 | 2016-04-14 |
| 1497150155 | Alemu Tafesse Mengistu | Nurse Practitioner | 201 N Eugene St, Greensboro, NC 27401-2221 | 2014-10-23 |
| 1760882476 | Ellen Mrha | Social Worker | 201 N Eugene St, Greensboro, NC 27401-2221 | 2014-08-29 |
| 1962827253 | Kevin E English | Counselor | 201 N Eugene St, Greensboro, NC 27401-2221 | 2014-02-24 |
| 1821413188 | Jacquelyn Hoover | Social Worker | 201 N Eugene St, Greensboro, NC 27401-2221 | 2014-02-24 |
| 1043631344 | Mareida Grossman-orr | Social Worker | 201 N Eugene St, Monarch, Greensboro, NC 27401-2221 | 2014-01-04 |
| 1225378441 | Jennifer Flynn | Counselor | 201 N Eugene St, Greensboro, NC 27401-2221 | 2013-02-25 |
| 1205173911 | Meghan Blankmann | Registered Nurse | 201 N Eugene St, Greensboro, NC 27401-2221 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| 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 |
|---|---|---|---|---|
| 1447656400 | Medtech Pharmacy, LLC | Pharmacy | 426 Gallimore Dairy Rd Ste 100, Greensboro, NC 27409-9548 | 2014-11-18 |
| 1538430012 | Shared Pharmacy Holdings LLC | Pharmacy | 1196 Pleasant Ridge Rd Ste A-1, Greensboro, NC 27409-9753 | 2012-01-16 |
| 1306906565 | Holladay Healthcare,inc | Pharmacy | 700 S Holden Rd, Greensboro, NC 27407-2321 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236584 | Premier Pharmacy and Wellness Center LLC | Pharmacy | 3010 Monroe Rd Ste 101, Charlotte, NC 28205-7533 | 2020-02-11 |
| 1114564564 | Gaben | Pharmacy | 6602 Knightdale Blvd Ste 120, Knightdale, NC 27545-6567 | 2019-12-04 |
| 1316588346 | Nuevo Health, Inc | Pharmacy | 937 Old Knight Rd, Knightdale, NC 27545-9065 | 2019-10-01 |
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1689148496 | Pharmscript of Nc LLC | Pharmacy | 140 Southcenter Ct Ste 600, Morrisville, NC 27560-8538 | 2019-01-15 |
| 1356812432 | Polaris Pharmacy Services of North Carolina, LLC | Pharmacy | 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 | 2018-12-16 |
| 1043799356 | Nelan LLC | Pharmacy | 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 | 2018-08-08 |
| 1699280008 | The Script LLC | Pharmacy | 1450 Shaire Center Drive, Hudson, NC 28638 | 2017-12-07 |
| 1528592813 | Triad Choice Pharmacy | Pharmacy | 658 Waughtown St, Winston Salem, NC 27107-2217 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.