Genoa Healthcare Minnesota

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

262961 Issued in MN

Legal business name

GENOA HEALTHCARE MINNESOTA

Practice address

1821 University Ave W
Suite N-464
Saint Paul, MN 55104-2801

Phone

(651) 917-4029

Fax

(651) 917-4034

NPI assigned

Jan 24, 2007

Last updated

Sep 11, 2025By 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

Denise Jason

Title

Contracts Administrator

Phone

(253) 218-0862

Specialties & licenses 2

Addresses

Tax ID family

Genoa Healthcare Minnesota2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genoa Healthcare of Minnesota, LLC

  • Pharmacy
  • Minneapolis, MN
  • NPI 1376501510
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tona Lois Willand, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1740349109
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982759569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673670",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "253-218-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W",
            "address_2": "SUITE N-464",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "651-917-4029",
            "fax_number": "651-917-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JASON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CONTRACTS ADMINISTRATOR",
        "authorized_official_telephone_number": "253-218-0862"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "262961",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "262961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Gentle Rides Transportation Inc
• Carolina Gentry, LICSW
• Alyssa George, PT
• Deanna Renee George, PT
• Kamari George, MA, LADC, LPCC

• Long Term Care Pharmacy in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.