GENOA HEALTHCARE LLC NPI 1710367222

NPI Details

GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in Renton, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GENOA HEALTHCARE LLC NPI is 1710367222. The provider is registered as an organization entity type.

The provider's business location address is:

707 S GRADY WAY STE 400
RENTON, WA
ZIP 98057
Phone: (253) 218-0830
Fax: (253) 217-4306

The provider's authorized official is Karen Bohmer .
The authorized official title is Secretary and has the following contact phone number (224) 231-1833.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
• Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, dna, spike protein, adenovirus type 26 (ad26) vector, preservative free, 5x1010 viral particles/0.5ml dosage, single dose (HCPCS:0031A)
• Pneumococcal vaccine, 13-valent (HCPCS:90670)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
• Adm sarscv2 30mcg trs-sucr 2 (HCPCS:0052A)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose (HCPCS:0002A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)
• Adm sarscov2 vac ad26 .5ml b (HCPCS:0034A)

The enumeration date for this NPI number is 6/1/2015 and was last updated on 12/24/2024.

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: