GENOA HEALTHCARE, LLC (NPI# 1336758796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336758796 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
10201 Mission Gorge Rd 2nd Floor, Suite N, Room P2 Santee CA 92071-3027 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 6194861532 |
| Practice Fax Number | 6198608661 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-10-19 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail 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 |
| Vermont Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Connecticut Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Indiana Business Entities | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Street Address |
10201 MISSION GORGE RD 2ND FLOOR, SUITE N, ROOM P2 |
| City | SANTEE |
| State | CA |
| Zip Code | 92071-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236934 | Amber Ann Valencia-campbell | Chiropractor | 10201 Mission Gorge Rd, Ste L, Santee, CA 92071-3026 | 2005-06-27 |
| 1265099824 | James Lee | Counselor | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2019-05-20 |
| 1194288118 | Jamal Tyrone Ledet-travis | Peer Specialist | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2019-04-08 |
| 1306327432 | Nicole Meehan | Registered Nurse | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2018-08-27 |
| 1750815106 | Richard Burgess | Case Manager/Care Coordinator | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2017-04-12 |
| 1811420078 | Joriel Jose | Case Manager/Care Coordinator | 10201 Mission Gorge Rd, Ste 0, Santee, CA 92071-3027 | 2017-04-05 |
| 1649711490 | Mental Health Systems, Inc. | Community/Behavioral Health | 10201 Mission Gorge Rd, Ste. O, C, N, Santee, CA 92071-3027 | 2017-03-13 |
| 1609314897 | Cynthia Duran | Case Manager/Care Coordinator | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2017-02-07 |
| 1154672335 | Daniel M Kleiner, Dpm, Inc. | Podiatrist | 10201 Mission Gorge Rd, Suite K, Santee, CA 92071-3027 | 2012-09-27 |
| 1902923766 | Dr. Yang's Family Care | Family Medicine | 10201 Mission Gorge Rd, Suite H, Santee, CA 92071-3026 | 2007-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| 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 |
|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
| 1770193641 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E Walnut St, Pasadena, CA 91106-1611 | 2020-08-05 |
| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| 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.