GENOA HEALTHCARE, LLC


Address: 601 Wall St, Valparaiso, IN 46383-2512
Phone: 2194621603

GENOA HEALTHCARE, LLC (NPI# 1518143445) 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) 1518143445
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 601 Wall St
Valparaiso
IN 46383-2512
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2194621603
Practice Fax Number 2194628693
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2008-01-10
Last Update Date 2020-03-17
Authorized Official Name WILLIAM GUPTAIL (COO)
Authorized Official Telephone 2532180830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
60006470A IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2025716 01
IN 200883920 05

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
Vermont Business Registrations GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188

Office Location

Street Address 601 WALL ST
City VALPARAISO
State IN
Zip Code 46383-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780677542 Erin Stewart Social Worker 601 Wall St, Valparaiso, IN 46383-2512 2005-08-26
1619587607 Kristy Steiner Counselor 601 Wall St, Valparaiso, IN 46383-2512 2020-08-04
1639731409 Alaina Ciarrocchi Counselor 601 Wall St, Valparaiso, IN 46383-2512 2019-07-02
1770048480 Lindsay Marie Beougher Social Worker 601 Wall St, Valparaiso, IN 46383-2512 2019-02-06
1184104853 Andrea Lynn Farmer Nurse Practitioner 601 Wall St, Valparaiso, IN 46383-2512 2018-08-21
1558856922 Alejandra Camacho Soria Counselor 601 Wall St, Valparaiso, IN 46383-2512 2018-06-27
1548754245 Dawn Hickman Counselor 601 Wall St, Valparaiso, IN 46383-2512 2018-06-18
1740772847 Whitney Stanfill Counselor 601 Wall St, Valparaiso, IN 46383-2512 2018-06-04
1427545912 Tanye' S. Tyler Social Worker 601 Wall St, Valparaiso, IN 46383-2512 2018-04-19
1386156263 Leigh Regine Westergren Social Worker 601 Wall St, Valparaiso, IN 46383-2512 2017-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962860 Andrea Abbett Pharmacist 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 2020-11-03
1144868043 Callan Gannon Jones Registered Nurse 83 E Us-6 Frontage Road, Valparaiso, IN 46383 2019-12-11
1972163806 Melissa E Valtierra Counselor 204 Valparaiso St, Valparaiso, IN 46383 2019-06-13
1003472721 Roman Podiatry Partners Inc Podiatrist 2308 N. Roosevelt, Valparaiso, IN 46383 2019-05-17
1831654680 Mark Esiyeden Driver 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 2019-02-06
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1285112334 Tricia Louise Burkins Nurse Practitioner 1861 South Sturdy Road, Valparaiso, IN 46383 2018-08-01
1598262388 Elizabeth R Kozak Physical Therapist 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 2018-04-09
1588160725 Innovative Counseling Solutions LLC Social Worker 8 Morgan Street, Valparaiso, IN 46383 2018-04-05
1275034860 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 405 Porters Vale Boulevard, Valparaiso, IN 46383 2018-02-28
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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
1437260395 In Touch Pharmaceuticals Inc Pharmacy 1150 Eastport Centre Drive, Suite A, Valparaiso, IN 46383 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003437609 Damasius Inc Pharmacy 6949 Kennedy Ave Ste C, Hammond, IN 46323-2245 2020-05-05
1568099703 In Touch of Indy, LLC Pharmacy 851 Columbia Rd Ste 190, Plainfield, IN 46168-7587 2020-03-26
1669030102 Meds To You LLC Pharmacy 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 2019-05-30
1083188973 Circle City Pharmacy, LLC Pharmacy 65 E Garner Rd Ste 200, Brownsburg, IN 46112-7867 2019-01-14
1174091557 Rubicon Dtp, LLC Pharmacy 5751 W 73rd St # A, Indianapolis, IN 46278-1741 2018-11-05
1962870295 Pca Corrections LLC Pharmacy 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 2015-09-03
1407235013 Cppltc LLC Pharmacy 482 W Navajo St Ste B, West Lafayette, IN 47906-1940 2015-05-28
1871986596 N&m Investments Pharmacy 30 S Water St Ste B, Franklin, IN 46131-2316 2015-03-05
1588911895 United Rx, LLC Pharmacy 2325 Pointe Pkwy, Carmel, IN 46032-3294 2012-08-07
1265674097 Pauls Pharmacy Inc Pharmacy 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 2009-03-25
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Competitor

Search similar providers

City VALPARAISO
Zip Code 46383

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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