GENOA HEALTHCARE, LLC
Durable Medical Equipment & Medical Supplies

Address: 18613 Se Stark St Ste P, Portland, OR 97233-5327

GENOA HEALTHCARE, LLC (NPI# 1316523608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316523608
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 18613 Se Stark St Ste P
Portland
OR 97233-5327
Practice Telephone 5035126185
Practice Fax Number 2532174306
Mailing Address 707 S Grady Way Ste 700
Renton
WA 98057-3243
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Certification Date 2021-02-25
Enumeration Date 2021-03-18
Last Update Date 2021-03-18
Authorized Official Telephone 6516890258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
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

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1568049476 Genoa Healthcare, LLC Pharmacy 2602 Challenger Tech Ct Ste 240, Orlando, FL 32826-2782 2021-03-26
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1164015343 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2922 State St, Erie, PA 16508-1832 2021-02-18
1588257752 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 5711 South Dixie Highyway, Miami, FL 33143 2021-02-18
1134710635 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 159 Carleton Ave Ste P, Central Islip, NY 11722-4172 2021-01-28
1114518511 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 10 Distillery Rd Ste 200p, Westminster, MD 21157-5344 2021-01-28
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Office Location

Street Address 18613 SE STARK ST STE P
City PORTLAND
State OR
Zip Code 97233-5327

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205448164 Moore Therapy Services, LLC Behavioral Analyst 2053 Se 181st Ave, Portland, OR 97233 2020-08-20
1427563733 Central City Concern Inc · Hansen Shelter Clinic Clinic/Center - Federally Qualified Health Center (FQHC) 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1013570548 Christa R Andreasen Registered Nurse 12360 E Burnside St, Portland, OR 97233-1042 2019-04-19
1033622386 David Anthony Alarcon Speech-Language Pathologist 12441 Se Stark St, Portland, OR 97233-1053 2017-11-08
1134732100 Jacob R Kaufman Dentist 12596 Se Stark St Bldg N, Portland, OR 97233-1056 2020-08-28
1124603055 Northwest Extremity Specialists LLC Clinic/Center - Podiatric 12658 Se Stark St Bldg H, Portland, OR 97233-1058 2021-03-11
1871140350 Anthony Douglas Dejesus Counselor - Addiction (Substance Use Disorder) 12662 Se Stark St, Portland, OR 97233-1058 2019-08-20
1003307653 Rescue Life Senior Care Agency In Home Supportive Care 12640 Se Stark St, Portland, OR 97233-1058 2018-05-18
1326649500 African Youth and Community Organization · Ayco Community Health Worker 1390 Se 122nd Ave Ste Ue, Portland, OR 97233-1203 2020-11-04
1255983029 Opticare Optometry Optometrist 1370 Se 122nd Ave, Portland, OR 97233-1203 2019-07-11
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104401975 Kn Drug LLC Pharmacy - Long Term Care Pharmacy 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 2021-03-13
1568047330 Kn Drug LLC Pharmacy - Long Term Care Pharmacy 5253 Se 82nd Ave Ste 27, Portland, OR 97266-4885 2021-03-13
1235240391 Evergreen Pharmaceutical, LLC · Omnicare of Portland #48329 Pharmacy - Long Term Care Pharmacy 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 2006-08-31
1063038826 Bordonaro's Pharmacy Inc. Pharmacy - Long Term Care Pharmacy 283 Main St, Portland, CT 06480-1856 2020-06-17
1235201997 Bordonaro's Pharmacy Inc. · The Medicine Centre Bordonaro'S Pharmacy - Long Term Care Pharmacy 283 Main St, Portland, CT 06480-1856 2006-11-15
1336223171 Providence Health & Services - Oregon · Providence Specialty Pharmacy Services-Ltc Pharmacy - Long Term Care Pharmacy 6410 Ne Halsey St, Suite 400, Portland, OR 97213-4742 2006-10-25
1912017906 Pharmerica East LLC · Pharmerica Pharmacy - Long Term Care Pharmacy 97 Mcalister Farm Rd, Portland, ME 04103 2006-08-30
1215976014 Kaiser Foundation Health Plan of The Northwest · Kaiser Permanente Community Care Pharmacy Pharmacy - Long Term Care Pharmacy 5717 Ne 138th Ave, Portland, OR 97230-3409 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104401975 Kn Drug LLC Pharmacy - Long Term Care Pharmacy 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 2021-03-13
1568047330 Kn Drug LLC Pharmacy - Long Term Care Pharmacy 5253 Se 82nd Ave Ste 27, Portland, OR 97266-4885 2021-03-13
1144827809 Gpp Solutions LLC · Grants Pass Pharmacy Pharmacy - Long Term Care Pharmacy 414 Sw 6th St, Grants Pass, OR 97526-2810 2020-10-06

Competitor

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City PORTLAND
Zip Code 97233

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Dataset Information

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.

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