Organization
GENOA HEALTHCARE LLC
Active
Parent organization
GENOA A QOL HEALTHCARE COMPANY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENOA A QOL HEALTHCARE COMPANY LLC
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
3540 E BASELINE RD STE 150, PHOENIX, AZ 85042-9630
(480) 739-5784
(480) 692-2100
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
01/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up