MEDICARE: GENOA HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336L0003X	Long Term Care Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1497217129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENOA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	707 S GRADY WAY STE 400
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-3201
Country	:	US
Telephone Number	:	253-218-0830
Fax Number	:	253-217-4306

Provider Business Practice Location Address
First Line	:	16-24 UNION STREET
Second Line	:	SUITE P
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940
Country	:	US
Telephone Number	:	845-394-2447
Fax Number	:	845-341-0565

Authorized Official
Title or Position	:	SECRETARY
Name	:	KAREN BOHMER
Credential	:
Telephone Number	:	224-231-1833

Provider Enumeration Date	:	04/02/2019
Last Update Date	:	03/03/2026

Similar Medicare Providers

1205783412 — SOPHIA IRENE SKOULOUDIS PHARMD
Practice Location Address:

245 E MAIN ST
MIDDLETOWN, NY
10940-4017

Practice Phone: 845-344-1056
Practice Fax:

1376177436 — TERESA HELEN FOTINO PA-C
Practice Location Address:

111 MALTESE DR
MIDDLETOWN, NY
10940-2141

Practice Phone: 845-342-4774
Practice Fax:

1376499681 — SUSAN MCILROY
Practice Location Address:

161 S CENTERVILLE RD
MIDDLETOWN, NY
10940-8454

Practice Phone: 845-820-1928
Practice Fax:

1386165223 — TONIANNE MOTTA FNP-BC
Practice Location Address:

707 E MAIN ST
MIDDLETOWN, NY
10940-2650

Practice Phone: 845-333-3370
Practice Fax: 845-333-3372

1043220726 — MS. CATHERINE A GUZMAN LCSW
Practice Location Address:

16 UNION STREET
MIDDLETOWN, NY
10940-4906

Practice Phone: 845-343-5556
Practice Fax:

1720770563 — SHAKIRA RILEY
Practice Location Address:

80 SHALE DR
MIDDLETOWN, NY
10940-7120

Practice Phone: 646-326-1008
Practice Fax:

Directions to “GENOA HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.