GENOA HEALTHCARE, LLC (NPI# 1033513544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033513544 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2301 O St Lincoln NE 68510-1124 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 4028170165 |
| Practice Fax Number | 4024170255 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2014-10-13 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
3091 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148491 | 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 |
| Vermont Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Street Address |
2301 O ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134328008 | Brenda Kaye Merideth | Counselor | 2301 O St, Ste 2, Lincoln, NE 68510-1124 | 2007-07-12 |
| 1629542535 | Shireen Moshiri | Counselor | 2301 O St, Lincoln, NE 68510-1124 | 2019-01-14 |
| 1558832543 | Jillian Reitz | Counselor | 2301 O St, Lincoln, NE 68510-1124 | 2018-12-17 |
| 1407349491 | Laren Kilmer | Peer Specialist | 2301 O St, Lincoln, NE 68510-1124 | 2018-06-13 |
| 1760900013 | Lien Le Phan | Pharmacist | 2301 O St, Lincoln, NE 68510-1124 | 2017-09-07 |
| 1205365244 | Kay Leigh Kindopp | Pharmacist | 2301 O St, Lincoln, NE 68510-1124 | 2017-06-04 |
| 1275078040 | Michael Barber | Counselor | 2301 O St, Suite 1, Lincoln, NE 68510-1124 | 2017-01-03 |
| 1326594045 | Erin Simanic | Family Medicine | 2301 O St, Ste 2, Lincoln, NE 68510-1124 | 2016-09-01 |
| 1023562790 | Nicole Sabata | Counselor | 2301 O St, Lincoln, NE 68510-1124 | 2016-08-10 |
| 1225581051 | Lauren Bush | Counselor | 2301 O St, Lincoln, NE 68510-1124 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| 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 |
|---|---|---|---|---|
| 1760408637 | National Ltc Pharmacy Services, Inc. | Pharmacy | 6891 A St Ste 105, Lincoln, NE 68510-4184 | 2006-07-14 |
| 1306464870 | Pharmscript of Ne LLC | Pharmacy | 1001 South St, Lincoln, NE 68502-2251 | 2020-07-10 |
| 1831712868 | Sakrx, LLC | Pharmacy | 808 N 27th St, Lincoln, NE 68503-2523 | 2020-05-26 |
| 1467549907 | Madonna Rehabilitation Hospital | Pharmacy | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510504 | Sakrx LLC | Pharmacy | 5108 L St, Omaha, NE 68117-1330 | 2020-08-25 |
| 1831711050 | Kecrx LLC | Pharmacy | 12767 Q St, Omaha, NE 68137-3211 | 2020-05-11 |
| 1982224234 | Rom Pharm, LLC | Pharmacy | 10043 Scott Cir Ste 105, Omaha, NE 68122-3052 | 2020-04-16 |
| 1568095115 | Syracuse Town & Country Pharmacy, Inc | Pharmacy | 1710 Poplar, Syracuse, NE 68446-6844 | 2020-02-21 |
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1710460001 | Overton Community Pharmacy | Pharmacy | 509 C St, Overton, NE 68863-5351 | 2018-09-12 |
| 1235617648 | Curtis Discount Pharmacy Inc | Pharmacy | 115 Center Avenue, Curtis, NE 69025-6902 | 2018-07-30 |
| 1790276103 | Harris Apothecaries LLC | Pharmacy | 635 15th Ave, Franklin, NE 68939-1509 | 2018-05-21 |
| 1558875237 | Robert Moser Inc | Pharmacy | 1821 S 11th St, Nebraska City, NE 68410-3474 | 2017-11-17 |
| 1518484039 | Tooleys Osceola Pharmacy | Pharmacy | 415 Hawkeye St, Osceola, NE 68651-4474 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
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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.