GENOA HEALTHCARE, LLC (NPI# 1356331516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356331516 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
4900 Perry Hwy Bldg 1, Ste. 101 Pittsburgh PA 15229-2220 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 4129313131 |
| Practice Fax Number | 4129312370 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-03-23 |
| 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 | 333600000X | Pharmacy | PP415665L | PA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.018413 | IL | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 022330650 | OH | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH22278 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018105240003 | 05 | |
| PK | 2085126 | 01 | |
| OH | 2347713 | 05 |
| 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 |
4900 PERRY HWY BLDG 1, STE. 101 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15229-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194256982 | Ronald Faller | Pharmacist | 4900 Perry Hwy, Bldg 1, Suite 101, Pittsburgh, PA 15229-2220 | 2017-03-23 |
| 1447792031 | Patti Ann Laskey | Nurse Practitioner | 4900 Perry Hwy, Building 2 - Suite 200, Pittsburgh, PA 15229-2220 | 2016-11-14 |
| 1043752744 | Ryan Jeffrey Dallatore | Counselor | 4900 Perry Hwy, Building 2; Suite 200, Pittsburgh, PA 15229-2220 | 2016-11-11 |
| 1013381532 | Susan Battista | Social Worker | 4900 Perry Hwy, Building II, Suite 200, Pittsburgh, PA 15229-2220 | 2015-11-20 |
| 1477959989 | Tara Greene-minett | Psychologist | 4900 Perry Hwy, Building 2 Suite 200, Pittsburgh, PA 15229 | 2014-11-10 |
| 1134520828 | Genoa Healthcare, LLC | Pharmacy | 4900 Perry Hwy, Bldg 2, 3rd Floor, Pittsburgh, PA 15229-2220 | 2014-09-12 |
| 1316348477 | Genoa Healthcare, LLC | Pharmacy | 4900 Perry Hwy, Bldg 2, 3rd Floor, Pittsburgh, PA 15229-2220 | 2014-09-09 |
| 1659797173 | Pittsburgh Senior Care, Inc. | In Home Supportive Care | 4900 Perry Hwy, Building One, Suite 100, Pittsburgh, PA 15229-2220 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962717967 | Madison Paige Starkey | Physical Therapy Assistant | 157 Grove Avenue, Pittsburgh, PA 15229 | 2010-08-13 |
| 1235284761 | Tiffany M Chamberlin | Optometrist | 1015 West View Park Drive, Pittsburgh, PA 15229 | 2007-01-24 |
| 1083785711 | Richard C Beck | Dentist | 1014 Center Ave, Pittsburgh, PA 15229 | 2006-11-13 |
| 1295746428 | Giant Eagle Inc | Pharmacy | 1029 W View Park Dr, Pittsburgh, PA 15229 | 2006-08-11 |
| 1407889777 | Shailaja Parepally | Specialist | 1024 West View Park Drive, West View, PA 15229 | 2006-07-09 |
| 1669783387 | Alessi Phelps | Speech-Language Pathologist | 117 Harding Rd, West View, PA 15229-1112 | 2010-06-28 |
| 1417462409 | Barberry Ridge Home Health Inc | Home Health | 800 Perry Hwy Ste 4, Pittsburgh, PA 15229-1116 | 2017-12-12 |
| 1891916904 | Gary C Mangieri | Dentist | 800 Perry Highway, Suite #1, Pittsburgh, PA 15229-1116 | 2007-05-02 |
| 1073647830 | Maria Elisa Kitay | Counselor | 711 Perry Hwy, Pittsburgh, PA 15229-1125 | 2007-03-15 |
| 1053517623 | Alexandra Konetsky Smith-demain | Internal Medicine | 708 Jefferson Dr, Pittsburgh, PA 15229-1205 | 2007-06-21 |
| Find all providers in zip 15229 | ||||
| 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 |
|---|---|---|---|---|
| 1104056522 | Spartan Pharmacy Inc. | Pharmacy | 3528 Brownsville Road, Pittsburgh, PA 15227 | 2009-07-20 |
| 1437238102 | Passavant Development Corporation | Pharmacy | 100 Passavant Way, Pittsburgh, PA 15238-1318 | 2006-11-03 |
| 1174635387 | Omnicare Pharmacies of Pa West LLC | Pharmacy | 4700 Steubenville Pike, Pittsburgh, PA 15205-9659 | 2006-09-01 |
| 1841815792 | Doral Pharmaceuticals LLC D.b.a Kevin's Shop N Save Pharmacy | Pharmacy | 799 Castle Shannon Blvd, Pittsburgh, PA 15234-1601 | 2020-06-16 |
| 1336606029 | Mercy Life Center Corporation | Pharmacy | 249 S 9th St, Pittsburgh, PA 15203-1265 | 2019-02-28 |
| 1871091496 | Nicholas Verna | Pharmacy | 105 Gamma Dr Ste 100, Pittsburgh, PA 15238-2991 | 2018-01-29 |
| 1700335098 | Johnson's Pharmacy | Pharmacy | 600 Old Clairton Rd, Pittsburgh, PA 15236-4313 | 2016-09-27 |
| 1134520828 | Genoa Healthcare, LLC | Pharmacy | 4900 Perry Hwy, Bldg 2, 3rd Floor, Pittsburgh, PA 15229-2220 | 2014-09-12 |
| 1316348477 | Genoa Healthcare, LLC | Pharmacy | 4900 Perry Hwy, Bldg 2, 3rd Floor, Pittsburgh, PA 15229-2220 | 2014-09-09 |
| 1871864397 | Astis Long Term Care Pharmacy LLC | Pharmacy | 250 Mount Lebanon Blvd, Suite A1, Pittsburgh, PA 15234-1252 | 2012-01-13 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15229 |
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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.