Genoa, A Qol Healthcare Company, Llc

LBN: Genoa Healthcare, Llc
Genoa, A Qol Healthcare Company, Llc is an health care organization with primary practice located at 289 Great Rd Ste G1 , Acton MA 01720-4826. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, 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 (978) 631-2186, or through Hennessy, Natasha via phone (612) 722-4249.

Contact Information

Primary practice address
289 Great Rd Ste G1 Acton MA 01720-4826
Phone: (978) 631-2186
Fax: (978) 263-7974
Website:
Map and Directions
Authorized official contact:
Name: Hennessy, Natasha
Phone: (612) 722-4249

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X DS90081 Massachusetts

Profile Details

NPI number 1578007316
LBN Legal business name Genoa Healthcare, Llc
DBA Doing business as Genoa, A Qol Healthcare Company, Llc
Authorized official Hennessy, Natasha
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2016
Last updated Apr 26th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578007316 NPPES
Massachusetts MEDICAID 110104208B
Massachusetts Other 2167383

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