GENOA HEALTHCARE, LLC (NPI# 1932402211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932402211 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
625 N Plaza Dr Apache Junction AZ 85120-5501 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 4802826278 |
| Practice Fax Number | 4809821327 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | WILLIAM GUPTAIL (COO) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Y005731 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127816 | 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 |
625 N PLAZA DR |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85120-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940832 | Fred Barnett Lipovitch | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2005-11-21 |
| 1407456668 | Mitchell Garrett Brown | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5502 | 2020-10-27 |
| 1487263570 | Danielle Fedor | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2020-07-24 |
| 1891316907 | Lori A Smith | Counselor | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2020-04-29 |
| 1093281883 | Daed Lizbeth Ayala Penaloza I | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-10-18 |
| 1477046902 | Kyle Bart Dewey | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-06-09 |
| 1255820346 | Camay S Rooney | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-05-04 |
| 1043761067 | Molly Elizabeth Haak | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-10-14 |
| 1750735163 | Jackie Ollis | Registered Nurse | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-04-21 |
| 1851762074 | Smmhc, Inc | Community/Behavioral Health | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2015-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
| 1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
| 1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
| 1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
| 1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
| 1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
| 1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| 1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
| 1710075544 | Bashas Inc | Pharmacy | 10715 E Apache Trl, Apache Junction, AZ 85120-3307 | 2006-10-10 |
| Find all providers in zip 85120 | ||||
| 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 |
|---|---|---|---|---|
| 1336749860 | Adepa Pharmacy Pllc | Pharmacy | 8770 N Thornydale Rd, Tucson, AZ 85742-9096 | 2020-10-26 |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85120 |
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.