GENOA HEALTHCARE, LLC (NPI# 1952956070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952956070 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
7459 Burlington Pike Building 2, Room 114 Florence KY 41042-1553 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 8597950472 |
| Practice Fax Number | 8592821579 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2019-08-06 |
| 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 |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | 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 |
| 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 |
| Connecticut Business Registrations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Street Address |
7459 BURLINGTON PIKE BUILDING 2, ROOM 114 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033174222 | Brian Deloyd Jones | Psychiatry & Neurology | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-04-19 |
| 1013527837 | Dixie Lee Zimmerman | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-08-06 |
| 1629686043 | Althea Granger | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-07-22 |
| 1659920692 | Mandee Mckelvey | Art Therapist | 7459 Burlington Pike, Florence, KY 41042-1553 | 2019-09-11 |
| 1194296269 | Leah Anne King | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-12-16 |
| 1629557087 | Sarah Vanover | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-08-07 |
| 1154809572 | Kylie Meyer | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-07-30 |
| 1427540897 | Samantha Fox | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-06-01 |
| 1851898084 | Taylor Dantes | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-04-13 |
| 1497261572 | Morgan Mcleish | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1942388970 | Omnicare of New York, LLC | Pharmacy | 3203 W Palmetto St, Suite G, Florence, SC 29501-5900 | 2006-11-01 |
| 1376648287 | D&r Pharmaceutical Services, L.L.C. | Pharmacy | 350 Aristocrat Dr, Suite B, Florence, KY 41042-3280 | 2006-09-14 |
| 1417582032 | Burgess Closed Door Pharmacy LLC | Pharmacy | 615 W Evans St, Florence, SC 29501-3409 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1871133116 | Tompkinsville Drugs LLC | Pharmacy | 1513 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2020-01-15 |
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1164994315 | Rice Drugs, Inc. | Pharmacy | 125 Veller Drive, Beaver Dam, KY 42320-8955 | 2018-12-28 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1427328459 | Highland Pharmacy Inc | Pharmacy | 301 Rogers Rd, Glasgow, KY 42141-4110 | 2012-01-06 |
| 1801164348 | Apothecare Pharmacy of Elizabethtown P S C | Pharmacy | 189 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2011-12-12 |
| 1386958866 | Bluegrass Long Term Care | Pharmacy | 2187 Lexington Rd Ste 1, Richmond, KY 40475-7919 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
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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.