Genoa Healthcare, Llc, NPI 1891145934
Long Term Care Pharmacy in Reston, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1891145934
NPI Entity Type Organization
Provider Name Genoa Healthcare, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 11484 Washington Plz W Ste 300, Reston, VA, US
Provider Mailing Address 707 S Grady Way Ste 700, Renton, WA, US, 980573243
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Joseph Douglas
Official Position CEO
Phone 815-404-4871

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 0201004060
License State VA
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Business Address

Genoa Healthcare, Llc
11484 Washington Plz W Ste 300

Reston, VA, US

Phone: 703-787-3217
Fax: 703-481-3853

Mailing Address

Genoa Healthcare, Llc
707 S Grady Way Ste 700
Renton, WA, US
ZIP 980573243
Phone: 253-218-0830
Fax: 253-217-4306

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

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