DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GENOA HEALTHCARE LLC

MEDICARE: GENOA HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1841613247
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 : 800 30TH ST NW STE P
Second Line :
City : CANTON
State : OH
Zip : 44709-2902
Country : US
Telephone Number : 330-451-6164
Fax Number : 330-456-2674
Authorized Official
Title or Position : SECRETARY
Name : KAREN BOHMER
Credential :
Telephone Number : 224-231-1833
Provider Enumeration Date : 01/22/2014
Last Update Date : 02/19/2026

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:
2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614
Practice Phone: 770-345-9600
Practice Fax:
1578403093 — JELENA PROSTRAN
Practice Location Address:
800 30TH ST NW
CANTON, OH
44709-2902
Practice Phone: 330-438-2400
Practice Fax:
1265399190 — TASHEI QUANEK HERRING
Practice Location Address:
800 30TH ST NW
CANTON, OH
44709-2902
Practice Phone: 330-438-2400
Practice Fax: 330-438-3003
1386503886 — CAROLINE GRACE YEARGIN
Practice Location Address:
800 30TH ST NW
CANTON, OH
44709-2902
Practice Phone: 330-438-2400
Practice Fax:
1851242176 — ANGELENA THOMPSON
Practice Location Address:
800 30TH ST NW
CANTON, OH
44709-2902
Practice Phone: 330-438-2400
Practice Fax: 330-438-3003
1447102819 — LAVENDER CHEYENNE DORSEY
Practice Location Address:
800 30TH ST NW
CANTON, OH
44709-2902
Practice Phone: 330-438-3013
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.