GENOA HEALTHCARE, LLC


Address: 3864 N 27th Ave, Phoenix, AZ 85017-4703
Phone: 6023580078

GENOA HEALTHCARE, LLC (NPI# 1588008957) 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) 1588008957
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 3864 N 27th Ave
Phoenix
AZ 85017-4703
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 6023580078
Practice Fax Number 6022644982
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2013-04-29
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
Y005733 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2140103 01

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 3864 N 27TH AVE
City PHOENIX
State AZ
Zip Code 85017-4703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275503559 Judith Ann Levin Nurse Practitioner 3864 N 27th Ave, Phoenix, AZ 85017-4703 2006-01-26
1255938973 Kristen Jane Pyland Pharmacist 3864 N 27th Ave, Phoenix, AZ 85017-4703 2020-10-06
1366069072 Vicki Robin Spahr Counselor 3864 N 27th Ave, Phoenix, AZ 85017-4703 2020-06-29
1912521477 Chelsea Sneller Social Worker 3864 N 27th Ave, Phoenix, AZ 85017-4703 2020-06-01
1265068803 Jessica Renee Jouas Social Worker 3864 N 27th Ave, Phoenix, AZ 85017-4703 2020-03-16
1093363368 Melanie R Stasny Counselor 3864 N 27th Ave, Phoenix, AZ 85017-4703 2019-08-29
1801363114 Terros Health Clinic/Center 3864 N 27th Ave, Phoenix, AZ 85017-4703 2018-10-25
1609367325 Ijeoma P Ogbuchiekwe Counselor 3864 N 27th Ave, Phoenix, AZ 85017-4703 2018-05-29
1164919064 Christine Queval-chung Nurse Practitioner 3864 N 27th Ave, Phoenix, AZ 85017-4703 2018-04-16
1578064382 Tracie Denie Johnson-wagner Nurse Practitioner 3864 N 27th Ave, Phoenix, AZ 85017-4703 2018-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169282 Deborah Carter Specialist/Technologist 5346 N. 29th Ave., Phoenix, AZ 85017 2020-09-17
1730671207 Michael Carl Smith Assisted Living Facility 5736 N 33rd Ave, Phoenix, AZ 85017 2018-05-31
1457860561 Bianca Yvonne Lopez Psychiatry & Neurology 3001 N. 33rd Ave, Phoenix, AZ 85017 2017-09-21
1295259281 Happy Home Care Home Health 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 2017-08-01
1851848493 Horeb Transportation LLC Non-emergency Medical Transport (VAN) 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 2016-09-01
1932565942 Urgent Pain, LLC Contractor 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 2016-01-06
1457766172 Lindsay Allison Love Social Worker 3306 W. Catalina Dr., Phoenix, AZ 85017 2014-06-23
1437592433 Maya Medical Services Clinic/Center 2908 W. Camelback Rd., Phoenix, AZ 85017 2013-04-10
1801089685 Jonnie Arnold Counselor 3400 Grand Ave, Phoenix, AZ 85017 2007-08-24
1851414890 Corpus Christi Home Care and Hospice LLC Hospice Care, Community Based 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 2007-04-06
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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
1730422601 Genoa Healthcare, LLC Pharmacy 10240 N 31st Ave Ste 210, Phoenix, AZ 85051-9565 2013-03-29
1518182815 Safety Drugs Inc Pharmacy 2630 E Mohawk Ln Ste 128, Phoenix, AZ 85050-4637 2007-04-13
1598755944 Guardian Pharmacy of Arizona, LLC Pharmacy 21025 North 8th Way Bldg 8, Phoenix, AZ 85024 2005-10-26
1235455015 Genoa Healthcare, LLC Pharmacy 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 2010-04-19
1588693659 Clp Arizona Pharmacy, LLC Pharmacy 20612 N Cave Creek Rd, Suite 150, Phoenix, AZ 85024-4440 2006-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336749860 Adepa Pharmacy Pllc Pharmacy 8770 N Thornydale Rd, Tucson, AZ 85742-9096 2020-10-26
1801493705 Cd Pharmacy LLC Pharmacy 2710 S Roosevelt St, Tempe, AZ 85282-2089 2020-10-04
1326695545 Lifecare Pharmacy Yuma LLC Pharmacy 2514 South Ave A, Suite 2, Yuma, AZ 85365 2019-08-22
1912366774 Pharmcare Usa of Greater Phoenix LLC Pharmacy 1835 S Alvernon Way Ste 202, Tucson, AZ 85711-5693 2016-02-22
1710388384 Pharmacy Care Provider LLC Pharmacy 1135 N Jefferson Ave, Tucson, AZ 85712-5009 2014-09-15
1912312315 East Valley Patient Care Services Pharmacy 218 W Hampton Ave, #4, Mesa, AZ 85210-5231 2014-06-24
1235565581 Guardian Pharmacy of Tucson LLC Pharmacy 10900 N Stallard Pl, Oro Valley, AZ 85737-9544 2013-09-18
1972944221 Genoa Healthcare, LLC Pharmacy 1500 S White Mountain Rd, Bldg 3, Suite 302, Show Low, AZ 85901-7929 2013-07-16
1093067670 Genoa Healthcare, LLC Pharmacy 15317 W Bell Rd Ste 106, Suite 106, Surprise, AZ 85374-3901 2012-10-08
1811248479 Palliative Pharmacy Partners LLC Pharmacy 1843 E Southern Ave, 102, Tempe, AZ 85282-5831 2012-09-24
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Competitor

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City PHOENIX
Zip Code 85017

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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