GENOA HEALTHCARE, LLC (NPI# 1609179712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609179712 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2600 N Stemmons Fwy Dallas TX 75207-2113 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 2146341300 |
| Practice Fax Number | 2146341329 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2020-03-26 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
27275 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127911 | 01 |
| 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 |
| Street Address |
2600 N STEMMONS FWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75207-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306857446 | John Dieter Bennett | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-08-11 |
| 1396182481 | Amy Richter | Counselor | 2600 N Stemmons Fwy, Suite 147, Dallas, TX 75207-2113 | 2013-05-29 |
| 1518234772 | Stephanie Denton | Counselor | 2600 N Stemmons Fwy, Suite 182, Dallas, TX 75207-2113 | 2011-11-16 |
| 1710288170 | Medical Plus Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 2600 N Stemmons Fwy, Suite 160, Dallas, TX 75207-2113 | 2010-11-16 |
| 1396056313 | A & C Discount Pharmacy LLC | Pharmacy | 2600 N Stemmons Fwy, Ste 164, Dallas, TX 75207-2113 | 2010-06-24 |
| 1548491517 | A & C Discount Pharmacy LLC | Pharmacy | 2600 N Stemmons Fwy, Ste 176, Dallas, TX 75207-2113 | 2009-08-07 |
| 1639373731 | Ehireme Anthony Ibazebo | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2007-06-13 |
| 1912031360 | Preston Looper | Counselor | 2600 N Stemmons Fwy, Suite 182, Dallas, TX 75207-2113 | 2007-03-16 |
| 1568525434 | Shanna Marie Trelford | Nurse Practitioner | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-12-19 |
| 1326119140 | Laurie Kleiman | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916045 | Connor Thomas Hughes | Student in an Organized Health Care Education/Training Program | Utsw, 14549 Ut Southwestern Dr, Dallas, TX 75207 | 2020-03-06 |
| 1851758049 | Allison Baxter Ondocsin | Counselor | 2600 N. Stemmons Fwy, Suite 151, Dallas, TX 75207 | 2016-01-20 |
| 1801226634 | Maynon Michelle Ballow | Dietitian, Registered | 4209 Mckinney Avenue Suite 202-c, Dallas, TX 75207 | 2013-11-14 |
| 1598031296 | Ming Yang | Pediatrics | 2350 N Stemmons Fwy Ste 4400, Dallas, TX 75207 | 2012-03-27 |
| 1306165030 | Strategic Laboratory Services, LLC | Clinical Medical Laboratory | 2029 E Levee St, Dallas, TX 75207 | 2010-05-20 |
| 1396979639 | Elisa Basora Rovira | Pediatrics | 2350 N. Stemmons Fwy (i-35), Dallas Ambulatory Care Pavillion, Dallas, TX 75207 | 2009-05-13 |
| 1740426683 | Bishop Home Healthcare | Home Health | 2730 North Stemmons, Suite 100, Dallas, TX 75207 | 2008-12-24 |
| 1033309836 | Sailaja Golla | Psychiatry & Neurology | 2350 Stemmons Fwy., Suite 5400, Dallas, TX 75207 | 2007-07-27 |
| 1548465545 | Christina E Norris | Nurse Practitioner | 111 Commerce Street, Dallas County Jail/lew Sterrett Justice Center North To, Dallas, TX 75207 | 2007-06-19 |
| 1053533950 | Donna Greenman | Registered Nurse | 2600 N Stemmon Ste 151, Dallas, TX 75207 | 2007-05-02 |
| Find all providers in zip 75207 | ||||
| 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 |
|---|---|---|---|---|
| 1366928780 | Jc Millennium Enterprises, LLC | Pharmacy | 4926 Columbia Ave, Dallas, TX 75214-5506 | 2018-07-18 |
| 1972016541 | Onesource Specialty Medicine LLC | Pharmacy | 8989 Forest Ln Ste 138, Dallas, TX 75243-4137 | 2017-11-06 |
| 1427370766 | Pride Pharmacy - Carlisle LLC | Pharmacy | 4015 Lemmon Ave Ste 4001, Dallas, TX 75219-3737 | 2010-02-26 |
| 1982920419 | Five Star Pharmacy Services LLC | Pharmacy | 14800 Landmark Blvd, Suite 250, Dallas, TX 75254-7565 | 2010-04-08 |
| 1306168786 | Genoa Healthcare, LLC | Pharmacy | 9708 Skillman St, Dallas, TX 75243-5150 | 2010-02-25 |
| 1235374877 | Kasprzyk Enterprises Inc | Pharmacy | 289 E Ellendale Ave, Suite 402, Dallas, OR 97338-1580 | 2008-12-11 |
| 1184711095 | Partners Pharmacy of Texas, LLC | Pharmacy | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082481 | San Marcos Treatment Facility | Pharmacy | 120 Bert Brown Rd, San Marcos, TX 78666-5803 | 2020-10-30 |
| 1114524212 | Yousenasna Group LLC | Pharmacy | 506 Graham Dr Ste 140, Tomball, TX 77375-3346 | 2020-10-02 |
| 1962029959 | Texas Rxsolutions and Compounding Pharmacy | Pharmacy | 7505 Fannin Street., Suite 140, Houston, TX 77054-1974 | 2020-06-25 |
| 1336764877 | Precise Drugs Tx Inc | Pharmacy | 1510 Randolph St Ste 503, Carrollton, TX 75006-7476 | 2020-06-10 |
| 1871114421 | Alamo Health LLC | Pharmacy | 408 Us Highway 90 W Ste B, Castroville, TX 78009-4548 | 2020-05-05 |
| 1962022442 | Hewitt Drug | Pharmacy | 511 N Hewitt Dr Ste 1, Hewitt, TX 76643-3093 | 2020-04-24 |
| 1285254060 | River Road Pharmacy | Pharmacy | 910 River Rd, Boerne, TX 78006-2441 | 2020-04-21 |
| 1750900015 | Thousand Oaks Healthcare LLC | Pharmacy | 426 Castroville Rd Ste 5, San Antonio, TX 78207-5169 | 2020-04-15 |
| 1639708464 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr Ste A, Princeton, TX 75407-9607 | 2020-04-03 |
| 1982230488 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr Ste 201-202, El Paso, TX 79932-1454 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GENOA HEALTHCARE, LLC.
| 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.