Genoa Healthcare, Llc
LBN: Genoa Healthcare, Llc
Genoa Healthcare, Llc is an health care organization with primary practice located at 15400 W Mcnichols Rd Ste 500 , Detroit MI 48235-3724. 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 (313) 723-3419, or through Hennessy, Natasha via phone (612) 722-4249.
Contact Information
Primary practice address
15400 W Mcnichols Rd Ste 500
Detroit MI 48235-3724
Phone: (313) 723-3419
Fax: (313) 653-3122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 5301010731 | Michigan |
Profile Details
| NPI number | 1619346137 |
|---|---|
| LBN Legal business name | Genoa Healthcare, Llc |
| DBA Doing business as | |
| Authorized official | Hennessy, Natasha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2015 |
| Last updated | Apr 26th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619346137 | NPPES |
| Other | 2154389 | PK | |
| MEDICAID | 1619346137 | PK |
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