GENOA HEALTHCARE, LLC (NPI# 1306362355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306362355 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
804 Industrial Park Rd Rm 27 Maxwelton WV 24957-8066 |
| Mailing Address |
18300 Cascade Ave S Ste 251 Tukwila WA 98188-4746 |
| Practice Telephone | 3045200576 |
| Practice Fax Number | 3044973412 |
| Mailing Telephone | 2532180830 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | WILLIAM GUPTAIL (COO) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| 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 |
804 INDUSTRIAL PARK RD RM 27 |
| City | MAXWELTON |
| State | WV |
| Zip Code | 24957-8066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| 1285869032 | Lindsay F Taylor | Pharmacist | 804 Industrial Park Rd, Maxwelton, WV 24957-0142 | 2009-05-22 |
| 1073616132 | Joseph F Bee | Dentist | 274 Erin Lane, Maxwelton, WV 24957-0274 | 2006-09-06 |
| 1972120806 | Amy Allison Myers | Day Training/Habilitation Specialist | 804 Industrial Drive, Maxwelton, WV 24957-0804 | 2020-06-26 |
| 1902199532 | Anna C Stout-tuckwiller | Physician Assistant | 804 Industrial Park Rd, Maxwelton, WV 24957-8061 | 2011-05-16 |
| 1508246307 | Samantha Grimmett | Social Worker | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957-8066 | 2015-06-05 |
| 1679747893 | Mary Ann Shires | Social Worker | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2008-04-18 |
| 1568070290 | Erica Brownfield | Case Manager/Care Coordinator | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-07-20 |
| 1609493253 | Marcus Algelo Brandon | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-30 |
| 1669099313 | Luke Crane | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-29 |
| Find all providers in zip 24957 | ||||
| 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 |
|---|---|---|---|---|
| 1407290224 | Uniqcare Pharmacy | Pharmacy | 3538 Teays Valley Rd, Hurricane, WV 25526-9054 | 2013-04-23 |
| 1588987051 | Medical Park Pharmacy Ltc Inc | Pharmacy | 4118 5th Street Rd, Huntington, WV 25701-9547 | 2010-03-11 |
| 1326159419 | Home Care Pharmacy LLC | Pharmacy | 125 Lakeview Dr Ste G, Cross Lanes, WV 25313-4414 | 2006-08-31 |
| 1124030366 | Anile Pharmacy Inc | Pharmacy | 2413 Pennsylvania Ave, Weirton, WV 26062-3632 | 2006-08-13 |
| 1508876640 | Compass Health Services, LLC | Pharmacy | 102 Corporate Dr, Morgantown, WV 26501-4580 | 2006-08-09 |
| 1245275551 | Continuumcare Pharmacy LLC | Pharmacy | 78 Perry Winkle Ln, Huntington, WV 25702-9506 | 2006-06-19 |
| 1295739654 | Judys Drug Store Inc | Pharmacy | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-13 |
| 1083617799 | Follansbee Pharmacy Inc | Pharmacy | 651 Colliers Way, Suite 204, Weirton, WV 26062-5053 | 2005-05-27 |
| 1275134330 | Griffith and Feil Drug, Inc | Pharmacy | 1405 Chestnut St, Kenova, WV 25530-1235 | 2020-11-05 |
| 1093327272 | Community Prescription Center Inc | Pharmacy | 124 Main St, Man, WV 25635-1212 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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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.