Genoa Healthcare LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GENOA HEALTHCARE LLC

Doing business as

Genoa Healthcare

Practice address

1441 W Central Park Ave Ste 53
Davenport, IA 52804-1707

Phone

(563) 265-6955

Fax

(563) 275-3296

NPI assigned

Aug 24, 2017

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 3

Addresses

Other names 1

• Genoa Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Fort Dodge, IA
  • NPI 1053863514

  O20201019000728

  Same enrollment
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Mason City, IA
  • NPI 1235696634

  O20201019000728

  Same enrollment
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Marshalltown, IA
  • NPI 1457093437

  O20201019000728

  Same enrollment
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Sioux City, IA
  • NPI 1689208829

  O20201019000728

  Same enrollment
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Ottumwa, IA
  • NPI 1710747878

  O20201019000728

  Same enrollment
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Sioux City, IA
  • NPI 1841908837

  O20201019000728

  Same enrollment

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

Locations

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1962929505",
    "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": "1441 W CENTRAL PARK AVE STE 53",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "563-265-6955",
            "fax_number": "563-275-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genoa Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Health System (Genesis Psychology Associates)
• Genesis Health System (Genesis Medical Center Davenport)
• Genesis Medical Center
• Genesis Medical Center
• Genesis Medical Education Foundation Inc (Genesis Family Medical Center)
• Anne Christine Gentil-Archer, ARNP
• Genuine Healthcare PC (AFC Urgent Care Davenport IA)
• Genventures, Inc (Genesis FirstMed Pharmacy)
• Genventures, Inc. (Genesis Home Medical Equipment)
• Genventures, Inc. (Genesis FirstMed Pharmacy (adding Genesis to D/b/a))

• Long Term Care Pharmacy in Davenport, IA
• Providers in Davenport, IA by specialty
• Long Term Care Pharmacy in Iowa

• 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.