GENOA HEALTHCARE, LLC (NPI# 1932227014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932227014 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2225 W Broadway First Floor Louisville KY 40211-1003 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 5027748299 |
| Practice Fax Number | 5027748298 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2007-03-27 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
P07180 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034931 | 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 |
2225 W BROADWAY FIRST FLOOR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40211-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013934959 | Manoocher Mofidi | Psychiatry & Neurology | 2225 W Broadway, Louisville, KY 40211-1003 | 2006-07-16 |
| 1396274965 | Angela Rudd | Pharmacist | 2225 W Broadway, Louisville, KY 40211-1003 | 2017-06-07 |
| 1164839940 | Tessa Stephens | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-07-14 |
| 1326459934 | Candace Bell | Marriage & Family Therapist | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-05-16 |
| 1568873552 | Amna Amir | Counselor | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-05-13 |
| 1225452253 | Ziberia Persley | Nurse's Aide | 2225 W Broadway, Louisville, KY 40211-1003 | 2014-02-11 |
| 1114365590 | Kimberly Joell Bates | Counselor | 2225 W Broadway, Louisville, KY 40211-1003 | 2013-06-07 |
| 1033556246 | Paige Brown | Student in an Organized Health Care Education/Training Program | 2225 W Broadway, Louisville, KY 40211-1003 | 2013-05-29 |
| 1124462023 | Rashaad Abdur-rahman | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2013-04-22 |
| 1447503727 | Shermeka Wallace | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2012-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792940 | Kare LLC | Dentist | 2500 W Broadway Ste 500, Louisville, KY 40211 | 2018-06-05 |
| 1265943716 | Practicare Home Care Services, LLC | Nurse Practitioner | 1667 Russell Lee Dr, Louisville, KY 40211 | 2017-10-23 |
| 1518478221 | Latoya Samantha Hall | Counselor | 646 South 36th Street, Louisville, KY 40211 | 2017-10-20 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| 1184770562 | Eta Day Care Center LLC | Case Management | 724 So 44th Street, Louisville, KY 40211 | 2007-01-26 |
| 1871571356 | Alice C Gunnison | Physician Assistant | 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 | 2006-01-05 |
| 1730733783 | Mark A Bush | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-07-29 |
| 1407419237 | Gina M Beckford | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-04-17 |
| 1730694266 | Orchid House, Inc. | Early Intervention Provider Agency | 703 S 31st St, Louisville, KY 40211 | 2017-12-06 |
| Find all providers in zip 40211 | ||||
| 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 |
|---|---|---|---|---|
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1992819635 | D&r Pharmaceutical Services, LLC | Pharmacy | 4400 Ole Brickyard Cir, Louisville, KY 40218-3066 | 2006-08-19 |
| 1558394122 | Pharmacy Corporation of America | Pharmacy | 12100 Plantside Dr, Louisville, KY 40299-6343 | 2006-07-08 |
| 1568498426 | Seniorx Pharmacy LLC | Pharmacy | 500 S Arthur Ave, Suite 300b, Louisville, CO 80027-3065 | 2006-06-23 |
| 1821030636 | Pharmacy Alternatives LLC | Pharmacy | 11401 Bluegrass Parkway, Louisville, KY 40299 | 2006-06-13 |
| 1699319814 | St. Matthews Pharmacy Pllc | Pharmacy | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-10-31 |
| 1013563659 | Louisville Drug Inc | Pharmacy | 213 Main St, Louisville, NE 68037-6032 | 2019-08-09 |
| 1023193067 | Commonwealth of Kentucky | Pharmacy | 1800 Bluegrass Ave, Louisville, KY 40214 | 2006-10-26 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40211 |
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.