GENOA HEALTHCARE, LLC


Address: 151 N Main St Rm 332, Decatur, IL 62523-1206
Phone: 2176190950

GENOA HEALTHCARE, LLC (NPI# 1295045573) 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) 1295045573
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 151 N Main St Rm 332
Decatur
IL 62523-1206
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2176190950
Practice Fax Number 2173291250
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2010-10-20
Last Update Date 2020-03-24
Authorized Official Name WILLIAM ROBERT GUPTAIL (COO)
Authorized Official Telephone 6516890258
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
N 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
054.019333 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2127274 01

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 151 N MAIN ST RM 332
City DECATUR
State IL
Zip Code 62523-1206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548763238 Community Health Improvement Center Clinic/Center 1027 N Water, Decatur, IL 62523 2018-03-09
1093091597 Leesa K Reed Social Worker 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 2011-10-27
1407001357 Pamela Sue Waterman Counselor 720 E. Wood St., Decatur, IL 62523 2008-11-19
1639231731 Heritage Behavioral Health Center Inc. Clinic/Center 151 N Main Street, Decatur, IL 62523 2006-12-14
1669561080 Diane S Pleasant Counselor 335 E Wood St Ste B, Decatur, IL 62523 2006-10-12
1376642470 Gudrun Birgitta Armentrout Marriage & Family Therapist 247 West Prairie, Catholics Charities, Decatur, IL 62523 2006-09-22
1871117887 Restore Wellness Counseling LLC Social Worker 106 North Main Street, Decatur, IL 62523 2020-06-04
1275004186 Stephanie Maurer Physician Assistant 320 Central Ave, Decatur, IL 62523 2018-12-17
1174049209 Patricia Shannon Licensed Practical Nurse 151 N Main St, Decatur, IL 62523 2017-08-21
1669673620 Decatur Public School Dist. #61 Local Education Agency (LEA) 101 W Cerro Gordo St, Decatur, IL 62523-1001 2007-05-29
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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 city

NPI Name Taxonomy Address Enumeration
1871529560 Enloe Drugs, LLC Pharmacy 796 N Sunnyside Rd, Decatur, IL 62522-1156 2006-06-24
1316410863 Sand Drug Inc Pharmacy 1206 7th St Se, Decatur, AL 35601-3338 2019-01-08
1962504365 Duncan Pharmacy Inc Pharmacy 2104 Danville Rd Sw, Decatur, AL 35601-4642 2006-09-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912512989 Millenium Pharmacy Ltd Pharmacy 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 2020-09-15
1992265235 Illini Clinic Pharmacy Inc Pharmacy 211 S 1st Street, Alpha, IL 61413 2019-03-22
1750841342 Illini Clinic Pharmacy Inc Pharmacy 855 Illini Dr Ste 200, Silvis, IL 61282-2904 2019-03-21
1679039358 Remedi Seniorcare of Chicago, LLC Pharmacy 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 2019-02-18
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1538672449 Wear Ltc Pharmacy 527 N Madison St Ste B, Carthage, IL 62321-1034 2017-11-14
1124546031 Symbria Rx Services, LLC. Pharmacy 3200 Grant St Rm 41, Evanston, IL 60201-1903 2017-08-31
1699146720 Pharmblue Illinois LLC Pharmacy 2960 Chartres St Ste 100, La Salle, IL 61301-1097 2015-10-15
1194144691 Lifemed Illinois, LLC Pharmacy 881 Il Route 83, Bensenville, IL 60106-1219 2014-04-11
1205250412 Becks Long Term Care Pharmacy Inc Pharmacy 1413 Locust Street, Eldorado, IL 62930 2014-02-07
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Competitor

Search similar providers

City DECATUR
Zip Code 62523

Improve Information

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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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