Genoa Healthcare LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GENOA HEALTHCARE LLC

Practice address

1501 Madison Rd
3Rd Floor
Walnut Hills, OH 45206-1706

Phone

(513) 221-7000

Fax

(513) 221-7001

NPI assigned

Nov 1, 2006

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Bohmer

Title

Secretary

Phone

(224) 231-1833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Pittsburgh, PA
  • NPI 1356331516

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1568540078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 400",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573246",
            "telephone_number": "253-218-0830",
            "fax_number": "253-217-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "address_2": "3RD FLOOR",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-221-7000",
            "fax_number": "513-221-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "BOHMER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "224-231-1833"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Gailey
• James S Gamble, QMHS BA
• Kevin Garner, QMHS BA
• Steven Francis Gehler
• Jordan Geisler
• Olivia Geraci, QMHS
• Austin Jerrod Gerhardt, CPRS
• Muriel R Gerhardt
• Jacob Gerwert, LSW
• Taylor A Gillespie

• Long Term Care Pharmacy in Walnut Hills, OH
• Providers in Walnut Hills, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.