GENOA HEALTHCARE, LLC


Address: 1700 Education Ave, Bldg A, Suite P, Punta Gorda, FL 33950-6222
Phone: 9413474785

GENOA HEALTHCARE, LLC (NPI# 1821638164) 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) 1821638164
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 1700 Education Ave
Bldg A, Suite P
Punta Gorda
FL 33950-6222
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 9413474785
Practice Fax Number 9418668544
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2020-01-15
Last Update Date 2020-06-09
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
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

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 1700 EDUCATION AVE
BLDG A, SUITE P
City PUNTA GORDA
State FL
Zip Code 33950-6222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265429682 Molly C Grossman Counselor 1700 Education Ave, Punta Gorda, FL 33950 2005-09-30
1700420668 Kristen Nicole Keen Nurse Practitioner 1700 Education Ave, Punta Gorda, FL 33950-6222 2019-11-04
1437707122 Richard Meredith Counselor 1700 Education Ave, Punta Gorda, FL 33950-6222 2019-08-27
1427617166 Rebecca Anne Hansen Counselor 1700 Education Ave, Punta Gorda, FL 33950-6222 2019-06-06
1346719986 Tammy Allshouse Counselor 1700 Education Ave, Punta Gorda, FL 33950-6222 2018-11-13
1629554852 Marlo Felice Uzzle Social Worker 1700 Education Ave, Punta Gorda, FL 33950-6222 2018-07-11
1306340377 Beatrice Braswell Counselor 1700 Education Ave, Punta Gorda, FL 33950-6222 2018-03-22
1194248344 Amanda Wood Social Worker 1700 Education Ave, Punta Gorda, FL 33950-6222 2017-07-19
1487175709 Derick Allen Duston Counselor 1700 Education Ave, Punta Gorda, FL 33950-6222 2017-06-28
1396281911 Peta Gay Bezek Nurse Practitioner 1700 Education Ave, Punta Gorda, FL 33950-6222 2017-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295291979 Kristin Wilson Nurse Practitioner 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 2019-02-18
1750856993 Medical Risk Solutions Family Medicine 514 East Grace Street, Punta Gorda, FL 33950 2018-10-03
1457858607 Janet Miller Dawson Nurse Practitioner Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 2018-04-12
1730689290 Suncoast Neuropsychiatric Wellness Center LLC Psychiatry & Neurology 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 2018-02-20
1306351424 Laura Cara Carlisle Developmental Therapist 2440 W Marion Ave, Punta Gorda, FL 33950 2017-12-12
1629591722 Rachel Guyton Irias Behavior Technician 321 W Grace St, Punta Gorda, FL 33950 2017-07-20
1730636713 William Bartley Hoke Specialist/Technologist 733 E.oympia Ave, Punta Gorda, FL 33950 2016-09-07
1861868770 Jason Burns Physical Therapist 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 2015-08-14
1073935409 Heather Lynn Darmetko Nurse Practitioner 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 2014-01-21
1568706380 Steven Michael Byrne Nurse Practitioner 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 2012-11-16
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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 state

NPI Name Taxonomy Address Enumeration
1598362519 Fast & Friendly Ltc Pharmacy, LLC Pharmacy 3202 W Baker St, Plant City, FL 33563-2849 2020-10-02
1326656265 Sky City Pharmacy LLC Pharmacy 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 2020-07-16
1316565146 Rx Care 17 LLC Pharmacy 7142 N. University Drive, Tamarac, FL 33321 2020-07-08
1891318689 Aviva Care Pharmacy LLC Pharmacy 2053 North University Drive, Sunrise, FL 33322 2020-05-27
1811526650 Careone Pharmacy Services LLC Pharmacy 1455 E Airport Blvd, Sanford, FL 32773-6818 2020-04-03
1982239810 Wamu LLC Pharmacy 85 Cypress Point Pkwy Unit C, Palm Coast, FL 32164-8455 2020-03-11
1477186724 Central Tampa Pharmacy LLC Pharmacy 5010 N 40th St Ste 201, Tampa, FL 33610-5202 2020-02-14
1790317311 Specialty Rx Fl, LLC Pharmacy 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 2020-02-11
1700426970 Shambhu Inc. Pharmacy 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 2020-01-15
1205475175 Lordoni Discount Pharmacy Inc Pharmacy 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 2019-12-24
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Competitor

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City PUNTA GORDA
Zip Code 33950

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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