GENOA HEALTHCARE, LLC


Address: 3348 W 87th St Ste P, Chicago, IL 60652-3767
Phone: 8722445773

GENOA HEALTHCARE, LLC (NPI# 1417474032) 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) 1417474032
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 3348 W 87th St Ste P
Chicago
IL 60652-3767
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 8722445773
Practice Fax Number 7734363673
Mailing Telephone 2182530830
Enumeration Date 2017-08-24
Last Update Date 2020-03-20
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 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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3348 W 87th St, Chicago, IL 606523767 8722445773 7734363673
3348 W 87th St, Chicago, IL 606523767 2182530830

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 3348 W 87TH ST STE P
City CHICAGO
State IL
Zip Code 60652-3767

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861042715 New Hope Community Service Center Clinic/Center New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 2019-09-12
1770012189 Rachel Pasternak Social Worker 3348 W 87th Street, Chicago, IL 60652 2017-06-08
1437682283 Manliu Yang Dentist 8541 S Cicero Ave, Chicago, IL 60652 2017-04-08
1336687144 Stephanie J. Wilson Registered Nurse 7600 S. Pulask Rd., Chicago, IL 60652 2017-02-01
1346786811 Talisha Moman Licensed Practical Nurse 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 2017-01-09
1952851933 Yvonne Caldwell Licensed Practical Nurse 8600 S. Pulaski, Road, Chicago, IL 60652 2016-10-13
1942605795 Brittney Mclean Developmental Therapist 4317 W. 77th Pl, Chicago, IL 60652 2014-10-22
1245599521 Chisa Marie Collins Occupational Therapist 8008 S Albany, Chicago, IL 60652 2012-05-08
1548572969 St. Mary Therapy Services Clinic/Center 2455 W 79th St, #101, Chicago, IL 60652 2010-07-14
1750574752 Curt R Lang Dentist 4651 W 79th St, Suite 208, Chicago, IL 60652 2007-08-22
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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
1154630598 Genoa Healthcare, LLC Pharmacy 5710 N Broadway St Ste P, Chicago, IL 60660-4302 2010-10-04
1275588170 Rosens Morseview Pharmacy Inc Pharmacy 2955 W Devon Ave, Chicago, IL 60659-1555 2006-05-23
1154975340 Tarrytown Expocare Il LLC Pharmacy 1955 W Chicago Ave, Chicago, IL 60622-5541 2019-07-26
1295761401 Procare Pharmaceuticals LLC Pharmacy 5061 N Pulaski Rd, Chicago, IL 60630-2706 2006-06-23

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

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City CHICAGO
Zip Code 60652

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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