GENOA HEALTHCARE, LLC


Address: 1309 Tatum Dr Ste 1, New Bern, NC 28560
Phone: 2527724010

GENOA HEALTHCARE, LLC (NPI# 1194216713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194216713
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Other Organization Name GENOA HEALTHCARE, LLC
Practice Address 1309 Tatum Dr Ste 1
New Bern
NC 28560
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2527724010
Practice Fax Number 2526360590
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2018-05-21
Last Update Date 2020-03-12
Authorized Official Name WILLIAM GUPTAIL (COO)
Authorized Official Telephone 2532180830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2177788 01

Other Provider/Organization Names

Other Name Type Code
Genoa Healthcare, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1309 TATUM DR STE 1
City NEW BERN
State NC
Zip Code 28560

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841898152 Alec James Fields Student in an Organized Health Care Education/Training Program Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 2020-10-09
1285270413 Kelsey Miller Social Worker 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 2019-11-22
1568942399 Siddharth Mourya Physical Therapist River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 2018-08-21
1134634561 Eastern Carolina Young Men's Christian Association, Inc. Health Educator 100 Ymca Lane, New Bern, NC 28560 2017-12-07
1740725134 Victoria Anne Sarbin Audiologist 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 2016-12-21
1194193722 Kriebel and Associates Pa Clinic/Center 3680 Neuse Blvd., New Bern, NC 28560 2015-09-14
1013308105 Elizabeth Benton Specialist 3303 Highway 70 East, New Bern, NC 28560 2015-02-10
1386999068 Allison Lang Snyder Pharmacist 1904 M L King Jr. Blvd., New Bern, NC 28560 2012-07-18
1144542606 The Zannis Center for Plastic Surgery Pa Clinic/Center 2021 Neuse Blvd, New Bern, NC 28560 2010-02-24
1477781805 Charles Anuju Fotuchang Internal Medicine 2000 Nouse Blvd, New Bern, NC 28560 2009-06-24
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982236584 Premier Pharmacy and Wellness Center LLC Pharmacy 3010 Monroe Rd Ste 101, Charlotte, NC 28205-7533 2020-02-11
1114564564 Gaben Pharmacy 6602 Knightdale Blvd Ste 120, Knightdale, NC 27545-6567 2019-12-04
1316588346 Nuevo Health, Inc Pharmacy 937 Old Knight Rd, Knightdale, NC 27545-9065 2019-10-01
1164987996 Austin Drugs, Inc Pharmacy 3513 Suite B Highway 74 E, Monroe, NC 28110 2019-02-06
1326503657 Village Pharmacy of Hampstead Inc Pharmacy 14057 Hwy 17, Suite 100, Hampstead, NC 28443 2019-01-31
1689148496 Pharmscript of Nc LLC Pharmacy 140 Southcenter Ct Ste 600, Morrisville, NC 27560-8538 2019-01-15
1356812432 Polaris Pharmacy Services of North Carolina, LLC Pharmacy 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 2018-12-16
1043799356 Nelan LLC Pharmacy 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 2018-08-08
1699280008 The Script LLC Pharmacy 1450 Shaire Center Drive, Hudson, NC 28638 2017-12-07
1528592813 Triad Choice Pharmacy Pharmacy 658 Waughtown St, Winston Salem, NC 27107-2217 2017-04-13
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Competitor

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City NEW BERN
Zip Code 28560

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Dataset Information

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.

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