GENOA HEALTHCARE, LLC (NPI# 1174843544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174843544 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
4705 Old Post Rd Unit A Charlestown RI 02813-1842 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 4017823511 |
| Practice Fax Number | 4017823499 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2010-06-08 |
| 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 |
PHA00602 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125327 | 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 |
4705 OLD POST RD UNIT A |
| City | CHARLESTOWN |
| State | RI |
| Zip Code | 02813-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750365896 | Alice M Cesana | Counselor | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2005-12-02 |
| 1366060097 | Nathaniel Mazza | Social Worker | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2020-07-09 |
| 1275196479 | Michelle Yvonne Gonzalez | Social Worker | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2019-04-15 |
| 1538651088 | Stephanie Nacci | Social Worker | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2018-05-31 |
| 1548757578 | Karen Allyson Manor | Registered Nurse | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2018-04-16 |
| 1467977918 | Stella Breytman | Social Worker | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2017-08-06 |
| 1932646395 | Darlene M. Regan | Registered Nurse | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2017-01-24 |
| 1124578059 | Alison Schiesl | Pharmacist | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2016-10-04 |
| 1992254684 | Erin Bolles | Counselor | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2016-09-23 |
| 1790024982 | Amy Murphy | Counselor | 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881192 | Tiyawni Kerriesha Byfield | Counselor | 4705 Boston Post Rd., Charlestown, RI 02813 | 2020-11-03 |
| 1265931596 | Joseph T Wilkinson | Social Worker | 3949 Old Post Rd, Charlestown, RI 02813 | 2018-02-01 |
| 1114168853 | Charlestown Physical Therapy and Health Services LLC | Physical Therapist | 3939 Old Post Rd., Charlestown, RI 02813 | 2009-03-10 |
| 1912192196 | Sara E Michaud | Physical Therapist | 3939 Old Post Rd, Charlestown, RI 02813 | 2007-09-11 |
| 1093911752 | Jennifer Gail Brunell | Counselor | 3949 Old Post Rd Ste 101, Charlestown, RI 02813 | 2007-06-21 |
| 1013060391 | Michelle Palmer | Advanced Practice Midwife | 2301 Matunuck School House Road, Charlestown, RI 02813 | 2007-01-19 |
| 1013083963 | Ocean Pharmacy Charlestown Inc. | Pharmacy | 3986 Old Post Rd., Charlestown, RI 02813 | 2006-11-24 |
| 1780764514 | David S Brown | Chiropractor | 10b Crossland Street, Charlestown, RI 02813 | 2006-10-16 |
| 1952404360 | Thomas Kevin Brigada | Dentist | 2240 Matunuck Schoolhouse Road, Charlestown, RI 02813 | 2006-09-07 |
| 1285685560 | Stuart Demirs | Internal Medicine | 4099 Old Post Rd, Charlestown, RI 02813 | 2006-05-12 |
| Find all providers in zip 02813 | ||||
| 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 |
|---|---|---|---|---|
| 1871125047 | Personifilrx New England, LLC | Pharmacy | 225 Metro Center Blvd, Warwick, RI 02886-1783 | 2020-02-06 |
| 1306297098 | Woodmark Pharmacy of Rhode Island, LLC | Pharmacy | 114 Minnesota Ave, Warwick, RI 02888-6026 | 2016-06-24 |
| 1437282803 | Pawtuxet Valley Prescription & Surgical Center,inc | Pharmacy | 65 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| 1447320056 | Asco Healthcare of New England Limited Partnership | Pharmacy | 30 Centre of New England Blvd, Coventry, RI 02816-6068 | 2006-11-09 |
| 1740820984 | Mcquade's Marketplace Pharmacy | Pharmacy | 106 Main St., Westerly, RI 02891 | 2020-01-15 |
| 1225695760 | Casmer | Pharmacy | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-21 |
| 1053975102 | Green Line Apothecary of Providence LLC | Pharmacy | 905 N Main St, Providence, RI 02904-5744 | 2019-04-24 |
| 1821572280 | Simpson's Pharmacy | Pharmacy | 10 Newport Ave, Pawtucket, RI 02861-4497 | 2018-09-21 |
| 1639380553 | Genoa Healthcare, LLC | Pharmacy | 103 Bacon St, Pawtucket, RI 02860-5542 | 2007-05-24 |
| 1255416541 | Quality Pharmaceutical Services | Pharmacy | 1130 Ten Rod Rd, Ste F101, North Kingstown, RI 02852-4161 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 02813 |
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.