Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Canton, OH. Organization (NPI-2).
NPI number1386022010
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1386022010
- Entity type
- Organization (NPI-2)
- Legal business name
- Genoa Healthcare LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2015
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Practice location
625 Cleveland Ave Nw Ste 301Canton, OH 44702-1805
Phone 234-203-1825 · Fax 234-203-5006
Mailing address
707 S Grady Way Ste 400Renton, WA 98057-3246
Phone 253-218-0830 · Fax 253-217-4306
Authorized official
Karen Bohmer
Secretary
2242311833
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Long Term Care Pharmacy providers in Canton, OH
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All 6 Long Term Care Pharmacy providers in Canton · All 7,232 providers in Canton
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