Genoa Healthcare, Llc

LBN: Genoa Healthcare, Llc
Genoa Healthcare, Llc is an health care organization with primary practice located at 3807 Clairmont Rd , Atlanta GA 30341-4911. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Genoa Healthcare, Llc can be contacted via phone (770) 457-5867, or through Douglas, Joseph via phone (815) 404-4871.

Contact Information

Primary practice address
3807 Clairmont Rd Atlanta GA 30341-4911
Phone: (770) 457-5867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Joseph
Phone: (815) 404-4871

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE010080 Georgia

Profile Details

NPI number 1528468113
LBN Legal business name Genoa Healthcare, Llc
DBA Doing business as
Authorized official Douglas, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2014
Last updated Jun 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528468113 NPPES
Other 2147832 PK

Popular Providers