GENOA HEALTHCARE, LLC (NPI# 1811595622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811595622 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
2500 W Washington Ave Ste 103 Las Vegas NV 89106-3731 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 2532180830 |
| Practice Fax Number | 2532174306 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| 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 |
|---|---|---|---|---|---|
| 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 |
Suppliers |
| 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 |
| 1245844000 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 | 2020-08-31 |
| 1740893973 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3612 Pera Ave Ste P1, El Paso, TX 79905-2412 | 2020-08-27 |
| 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 |
| Street Address |
2500 W WASHINGTON AVE STE 103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| 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 |
|---|---|---|---|---|
| 1588273684 | Trinity Pharmacy LLC | Pharmacy | 2797 S Maryland Pkwy Ste 28, Las Vegas, NV 89109-1576 | 2020-07-24 |
| 1154796506 | Refill Pharmacy 1 LLC | Pharmacy | 8536 Del Webb Blvd, Las Vegas, NV 89134-8676 | 2015-12-10 |
| 1770886582 | Assist Care Pharmacy Inc. | Pharmacy | 3045 E. Post Rd, Las Vegas, NV 89120 | 2010-12-16 |
| 1245332055 | Omnicare of Nevada, LLC | Pharmacy | 1525 E Sunset Rd, Suite 16, Las Vegas, NV 89119-4911 | 2006-09-02 |
| 1922607837 | Buddy's Pharmacy LLC | Pharmacy | 3035 S. Maryland Parkway, Suite 120, Las Vegas, NV 89109 | 2020-10-21 |
| 1841709219 | Shree Sainath LLC | Pharmacy | 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 | 2017-09-28 |
| 1205388865 | Turquoise, Ltd. | Pharmacy | 602 University Ave, Las Vegas, NM 87701-4248 | 2016-10-31 |
| 1740583798 | Cofii Corporation | Pharmacy | 2202 W Charleston Blvd, #13, Las Vegas, NV 89102-2232 | 2010-12-14 |
| 1598966798 | State of New Mexico | Pharmacy | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023410313 | Abacusrx Pharmacy LLC | Pharmacy | 1516 W Warm Springs Rd, Henderson, NV 89014-4339 | 2014-09-18 |
| 1376960666 | Sierra Specialty Pharmacy LLC | Pharmacy | 9738 S Virginia St Ste F, Reno, NV 89511-4811 | 2014-03-25 |
| 1730220468 | Spectrum Pharmacy Services LLC | Pharmacy | 4690 Longley Lane, A-39, Reno, NV 89502 | 2007-02-08 |
| 1396847133 | Omnicare of Nevada, LLC | Pharmacy | 9475 Double R Blvd, Suite 8, Reno, NV 89521-8955 | 2006-09-02 |
| 1346261575 | Pharmerica Mountain LLC | Pharmacy | 3825 W Cheyenne Ave # 603, North Las Vegas, NV 89032-3408 | 2006-07-22 |
| 1275587867 | Flying Diamond Pharmacy LLC | Pharmacy | 6140 Mae Anne Ave Ste 1b, Reno, NV 89523-4707 | 2006-05-19 |
| 1518470707 | Economy Drug, Inc. | Pharmacy | 696 Aultman St, Ely, NV 89301-1555 | 2017-11-09 |
| 1760569776 | Battle Mountain General Hosp | Pharmacy | 535 S Humboldt St, Battle Mountain, NV 89820 | 2006-11-01 |
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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.