GENOA HEALTHCARE LLC (NPI# 1659313435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659313435 |
Entity Type | Organization |
Organization Name | GENOA HEALTHCARE LLC |
Other Organization Name | GENOA-QOL HEALTHCARE |
Practice Address |
500 Hancock St Ste 100 Saginaw MI 48602-4224 |
Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
Practice Telephone | 9897933130 |
Practice Fax Number | 9897933133 |
Mailing Telephone | 2532180830 |
Mailing Fax Number | 2532174306 |
Enumeration Date | 2006-06-13 |
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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301007813 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2167540 | 01 | |
MI | 1659313435 | 05 |
Other Name | Type Code |
---|---|
Genoa-QoL Healthcare | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215445085 | Genoa Healthcare LLC | Pharmacy | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2018-01-16 |
1447744255 | Genoa Healthcare LLC | Durable Medical Equipment & Medical Supplies | 3046 West 127th Street, Blue Island, IL 60406-1827 | 2018-06-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Genoa Healthcare LLC | 707 South Grady Way, Suite 700, Renton, WA 98057 |
Iowa Business Entities | GENOA HEALTHCARE LLC | 707 South Grady Way, Suite 700, Renton, WA 98057 |
Oregon Corporations, Companies and Business Names | GENOA HEALTHCARE LLC | 707 South Grady Way, Suite 700, Renton, WA 98057 |
North Carolina Corporations | Genoa Healthcare LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
Connecticut Business Registrations | GENOA HEALTHCARE LLC | 707 S. Grady Way, Renton, WA 98057 |
Virginia Business Entities | Genoa Healthcare LLC | 707 S. Grady Way, Suite 700, Renton, Washington 98057 |
Street Address |
500 HANCOCK ST STE 100 |
City | SAGINAW |
State | MI |
Zip Code | 48602-4224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779911 | Samantha Erin Tenut | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-27 |
1417556663 | Daysha Reese | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-20 |
1780282442 | Stephanie Lynn Mumby | Dietitian, Registered | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-15 |
1790302255 | Tellis Colt Donajkowski | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-07-01 |
1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
1124642301 | Jessica Gayle Szikszay | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-03 |
1912528407 | Treasa Linsay Ross | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-06 |
1174144836 | Alexandria Sharon | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
1548881212 | Marie E Berg | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
1881220051 | Teresa L Dominique Nicholson | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
Find all providers in zip 48602 |
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 |
---|---|---|---|---|
1205351574 | City Specialty Pharmacy LLC | Pharmacy | 204 Wj Boaz Rd Ste 300, Saginaw, TX 76179-4396 | 2017-08-08 |
1699032573 | Mihomerx LLC | Pharmacy | 515 N Washington Ave, 5th Floor, Saginaw, MI 48607-1385 | 2012-04-18 |
1477195311 | Food Value & Pharmacy Corp | Pharmacy | 1320 N Michigan Ave Ste 1, Saginaw, MI 48602-4751 | 2019-10-11 |
1922579127 | Icarerx Pharmacy LLC | Pharmacy | 200 Wj Boaz Rd Ste 100, Saginaw, TX 76179-1290 | 2018-12-16 |
1790811123 | Healthsource Saginaw, Inc. | Pharmacy | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-02-27 |
1659483642 | Kent Pharmacies Inc | Pharmacy | 333 S Michigan Ave, Saginaw, MI 48602-2024 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
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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.