Genoa, a Qol Healthcare Company

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0013767 Issued in CT

Legal business name

GENOA, A QOL HEALTHCARE COMPANY

Practice address

287 Main St Ste A2
East Hartford, CT 06118-1885

Phone

(860) 249-8645

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Joy Grekula

Title

Pharmacist

Phone

(860) 785-6052

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1790211779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MAIN ST STE A2",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST STE A2",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181885",
            "telephone_number": "860-249-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA, A QOL HEALTHCARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GREKULA",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "860-785-6052"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "0013767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Gattuso, RPH
• Sharelle Janae Gay, LMSW
• Tre'Vone T Gay
• Alyssa A Gendreau
• Genoa Healthcare LLC
• Rebecca Raymond Gerhart
• Jordan Giambattista
• Bonnie Giardini, RDH, BS
• Marisa Giarnella-Porco, LCSW
• Julie Marie Gifford

• Adult Mental Health Clinic/Center in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.