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GENOA HEALTHCARE LLC NPI 1205270675


NPI Information

NPI: 1205270675
Provider Name: GENOA HEALTHCARE, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
955 WATER ST STE P
KERRVILLE, TX
ZIP 78028
Phone: (830) 896-0256
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GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Kerrville, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GENOA HEALTHCARE, LLC NPI is 1205270675. The provider is registered as an organization entity type.

The provider's business location address is:

955 WATER ST STE P
KERRVILLE, TX
ZIP 78028-508
Phone: (830) 896-0256
Fax: (830) 792-0667

The provider's authorized official is Joseph Douglas .
The authorized official title is Ceo and has the following contact phone number (815) 404-4871.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 11/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy28530TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12140099OTHERPK
2470892MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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