GENOA HEALTHCARE, LLC (NPI# 1174784268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174784268 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
875 W Moreno Ave Colorado Springs CO 80905-1731 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 7196303421 |
| Practice Fax Number | 7196303439 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2008-06-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
727 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997842 | 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 |
875 W MORENO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474944 | Helen Hwei Ling Lin | Psychiatry & Neurology | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2005-08-16 |
| 1053934562 | Jessica Strickland | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-05-19 |
| 1427681303 | Christin Robin Redfield | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-02-19 |
| 1093345753 | Consuelo Mockerman | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2020-01-22 |
| 1376188847 | Aspenpointe Inc Dba Health Services | Clinic/Center | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-11-08 |
| 1629635719 | Jami Gonzales | Nurse Practitioner | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-05-23 |
| 1275094328 | John Favara | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-29 |
| 1699236869 | Rebecca Nan Mccay | Registered Nurse | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-28 |
| 1346709763 | Hayley Greeno | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-03-15 |
| 1245703784 | Misty Dorak | Registered Nurse | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| 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 |
|---|---|---|---|---|
| 1548536899 | Pioneer Pharmacy LLC | Pharmacy | 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597 | 2012-03-30 |
| 1447374046 | Kohler Professional Pharmacy LLC | Pharmacy | 1007 Elkton Drive, Colorado Springs, CO 80907-7556 | 2007-03-19 |
| 1285746115 | Pharmacies West Inc | Pharmacy | 2306 N Wahsatch Ave, Colorado Springs, CO 80907-6957 | 2006-08-31 |
| 1043862485 | Park Ave Apothecary LLC | Pharmacy | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2019-07-16 |
| 1396309829 | Professional Pharmacy, LLC | Pharmacy | 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 | 2019-04-30 |
| 1841745528 | Premier Pharmacy Group LLC | Pharmacy | 101 S Union Blvd, Colorado Springs, CO 80910-3137 | 2016-08-23 |
| 1194002527 | Mike Epstein | Pharmacy | 101 S Union Blvd, Colorado Springs, CO 80910-3137 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659918894 | Beatties Community Pharmacy LLC | Pharmacy | 3140 Village Vista Dr Unit 100, Erie, CO 80516-2529 | 2019-12-06 |
| 1710477385 | Cd Colorado Pharmacy LLC | Pharmacy | 1240 S Parker Rd Ste 200, Denver, CO 80231-2177 | 2018-05-18 |
| 1275053761 | Mountain Key Rx | Pharmacy | 18172 Teller County Road 1, Florissant, CO 80816 | 2017-06-26 |
| 1053780866 | Vista Care Pharmacy LLC | Pharmacy | 133 Adams St, Monte Vista, CO 81144-1444 | 2015-09-22 |
| 1235516402 | Op Pharmacy LLC | Pharmacy | 6021 S Syracuse Way Ste 117, Greenwood Village, CO 80111-4747 | 2015-04-27 |
| 1326483108 | Trhc Opco, Inc. | Pharmacy | 5303 Spine Rd Ste 100, Boulder, CO 80301-3300 | 2013-05-07 |
| 1467580720 | High Plains Medical LLC | Pharmacy | 314 14th St, Burlington, CO 80807-1608 | 2007-03-01 |
| 1265597447 | Rx Plus Limited Palisade LLC | Pharmacy | 707 Elberta Ave Unit B, Palisade, CO 81526-8806 | 2006-12-27 |
| 1871667246 | Omnicare of New York, LLC | Pharmacy | 504 28 1/4 Rd, Grand Junction, CO 81501-4993 | 2006-11-20 |
| 1174600209 | Haldun Inc A Colorado Corporation | Pharmacy | 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
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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.