GENEVA WOODS HEALTH SUPPLIES PNW, LLC (NPI# 1043604655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043604655 |
| Entity Type | Organization |
| Organization Name | GENEVA WOODS HEALTH SUPPLIES PNW, LLC |
| Other Organization Name | GENEVA WOODS HEALTH SUPPLIES |
| Practice Address |
6600 Ne 112th Ct Ste 101 Vancouver WA 98662-5496 |
| Practice Telephone | 8886626099 |
| Practice Fax Number | 8665839296 |
| Mailing Telephone | 8886626099 |
| Mailing Fax Number | 8665839296 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DAN AFRASIABI (PRESIDENT/AUTHORIZED OFFCIAL) |
| Authorized Official Telephone | 9075656107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
604-124-465-0001 | WA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 604-124-465-0001 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1043604655 | 05 | |
| ID | 1043604655 | 05 | |
| WA | 2092002 | 05 | |
| OR | 500689802 | 05 |
| Other Name | Type Code |
|---|---|
| Geneva Woods Health Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174917579 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6326 E Trent Ave Ste A, Spokane Valley, WA 99212-1220 | 2015-03-24 |
| 1942339015 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6149 Martin Way E, Lacey, WA 98516-5547 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd. Ste 1a, Anchorage, AK 99518 |
| Washington State Corporations | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd, Ste 1a, Anchorage, AK 99518-1106 |
| Oregon Corporations, Companies and Business Names | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd Ste 1a, Anchorage, AK 99518 |
| Street Address |
6600 NE 112TH CT STE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-5496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675451 | Zoia Healthcare | Durable Medical Equipment & Medical Supplies | 12308 Ne 56th St Ste 1611, Vancouver, WA 98682-6495 | 2020-09-24 |
| 1932754140 | Vivakeso LLC | Durable Medical Equipment & Medical Supplies | 2718 Ne 152nd Ave, Vancouver, WA 98684-7887 | 2019-08-05 |
| 1417519299 | Amerita, Inc. | Durable Medical Equipment & Medical Supplies | 18110 Se 34th St Ste 290, Vancouver, WA 98683-9440 | 2019-07-02 |
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 2017-07-14 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1770930323 | Sleep Technologies Ltd | Durable Medical Equipment & Medical Supplies | 9300 Ne Vancouver Mall Dr Ste 203, Vancouver, WA 98662-8206 | 2016-05-24 |
| 1659759504 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1601 E Fourth Plain Blvd Ste B260, Vancouver, WA 98661-3713 | 2015-05-12 |
| 1346639382 | Orion Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3002 Ne 112th Ave Ste F, Vancouver, WA 98682-7262 | 2015-01-14 |
| Find all providers in VANCOUVER | ||||
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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.