GENOA HEALTHCARE, LLC (NPI# 1578007316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578007316 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Other Organization Name | GENOA, A QOL HEALTHCARE COMPANY, LLC |
| Practice Address |
289 Great Rd Ste G1 Acton MA 01720-4826 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 9786312186 |
| Practice Fax Number | 9782637974 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2016-12-13 |
| 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 | 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 |
DS90081 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110104208B | 05 | |
| PK | 2167383 | 01 |
| Other Name | Type Code |
|---|---|
| Genoa, a QoL Healthcare Company, LLC | Doing Business As Name - Organization |
| 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 |
| Street Address |
289 GREAT RD STE G1 |
| City | ACTON |
| State | MA |
| Zip Code | 01720-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669606752 | Enid J Keefe | Counselor | 289 Great Rd Ste G1, Acton, MA 01720-4826 | 2009-05-05 |
| 1902410905 | David Simpson Resnick | Counselor | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2020-09-07 |
| 1760954507 | Jillian Cooley | Counselor | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2018-12-18 |
| 1124504691 | Janis E Raguin | Counselor | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2018-07-17 |
| 1164926069 | Juliette Perkins | Registered Nurse | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2018-03-23 |
| 1891207304 | Jillian Lee Curt | Pharmacist | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2017-10-25 |
| 1841663903 | Jason P Knowles | Nurse Practitioner | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2015-11-10 |
| 1710295423 | Maria I Cordova - Gonzalez | Psychiatry & Neurology | 289 Great Rd Ste G1, Acton, MA 01720-4766 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| 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 |
|---|---|---|---|---|
| 1023176476 | Acton Pharmacy Inc | Pharmacy | 563 Massachusetts Ave, Acton, MA 01720-2903 | 2006-12-05 |
| 1699316984 | Acton Pharmacy Inc | Pharmacy | 563 Massachusetts Ave, Acton, MA 01720-2903 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1194366955 | Remedium Pharmacy, LLC | Pharmacy | 2 Vinal Sq, North Chelmsford, MA 01863-1312 | 2019-10-03 |
| 1184194276 | Pharma Service LLC | Pharmacy | 1183 Acushnet Ave, New Bedford, MA 02746-1905 | 2018-11-30 |
| 1023562006 | Prescott Pharmacy Ltc Inc | Pharmacy | 100 Grove St Ste B12, Worcester, MA 01605-2627 | 2016-08-08 |
| 1508249137 | Mbs Pharma Care, Inc. | Pharmacy | 1035b Providence Rd, Whitinsville, MA 01588-2121 | 2015-07-01 |
| 1568896785 | Shreeji Enterprises LLC | Pharmacy | 1275 Pawtucket Blvd Ste 3, Lowell, MA 01854-1070 | 2013-08-23 |
| 1477784304 | Mhhp Acquisition Company, LLC | Pharmacy | 574 Hartford Turnpike, Shrewsbury, MA 01545 | 2009-07-27 |
| 1376785196 | Family Pharmacy Ltc Inc | Pharmacy | 63a Main Street, Ashburnham, MA 01430 | 2009-03-25 |
| 1952566309 | Daw LLC | Pharmacy | 427 Turnpike St, Canton, MA 02021 | 2008-07-25 |
| 1598828980 | Medicine Store Inc. | Pharmacy | 409 Lowell St, Wakefield, MA 01880-1962 | 2006-12-18 |
| 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.