GENOA HEALTHCARE, LLC (NPI# 1801074166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801074166 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
10 Tsienneto Rd Derry NH 03038-1505 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 6039650255 |
| Practice Fax Number | 6039650257 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-03-25 |
| 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 |
0744P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2053946 | 01 | |
| NH | 30708362 | 05 |
| 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 |
10 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374452 | Heather J Souther | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2006-05-18 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1548822679 | Kristen Mccrady | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-06-28 |
| 1023675824 | Alex Reardon | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-05-28 |
| 1245795301 | Emily Coco | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-02-04 |
| 1972074698 | Irina Horodincu | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-12-06 |
| 1366910754 | Carol Early | Registered Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-11-05 |
| 1083181283 | Crystal Higgins | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-10-26 |
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| 1578044673 | Michele Saunders | Community Health Worker | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| 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 |
|---|---|---|---|---|
| 1841810959 | Healthy Quit Inc. | Pharmacy | 1 Chestnut St Ste 3y, Nashua, NH 03060-9302 | 2020-04-17 |
| 1780712489 | Lakeview Neuro Rehabilitation Center Inc | Pharmacy | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-03-02 |
| 1477646982 | Neighborcare of New Hampshire, LLC | Pharmacy | 13 Commerce Avenue, Londonderry, NH 03053 | 2006-10-02 |
| 1144321357 | Northeast Pharmacy Services LLC | Pharmacy | 1 Granite Pl, Suite 200 North, Concord, NH 03301-3258 | 2006-09-26 |
| 1093335994 | Healthy Quit Inc. | Pharmacy | 1 Chestnut St Ste 3y, Nashua, NH 03060-9302 | 2020-04-21 |
| 1356971675 | Nathaniel S Ferenczhalmy | Pharmacy | 1 Granite Pl, Concord, NH 03301-3271 | 2020-01-26 |
| 1881817294 | Northeast Pharmacy Services LLC | Pharmacy | 1 Granite Pl, Suite #200n, Concord, NH 03301-3258 | 2007-04-11 |
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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.