GENOA HEALTHCARE, LLC (NPI# 1851684500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851684500 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
4755 Campus Dr Sierra Vista AZ 85635-2449 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 5202263020 |
| Practice Fax Number | 5204592492 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | WILLIAM GUPTAIL (COO) |
| Authorized Official Telephone | 2532180830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Y005745 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130239 | 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 |
4755 CAMPUS DR |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316074164 | Geraldine Alexis | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-02-28 |
| 1487175162 | Chiricahua Community Health Centers, Inc | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-07-03 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1184978488 | Southeastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2012-11-08 |
| 1063676757 | Nancy Casurella | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635 | 2008-07-11 |
| 1093999526 | Deborah A. Crowe | Nurse Practitioner | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-12-19 |
| 1306061932 | Gary F Oberg | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1730422601 | Genoa Healthcare, LLC | Pharmacy | 10240 N 31st Ave Ste 210, Phoenix, AZ 85051-9565 | 2013-03-29 |
| 1093067670 | Genoa Healthcare, LLC | Pharmacy | 15317 W Bell Rd Ste 106, Suite 106, Surprise, AZ 85374-3901 | 2012-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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.