Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genoa Healthcare LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1013250661

Genoa Healthcare LLC is a Durable Medical Equipment & Medical Supplies in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

228 NE Jefferson Ave Ste 207
Peoria, IL 61603-3802
Phone: (309) 285-8231
Fax: (309) 676-0832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 054.019330 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1013250661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
NPI enumeratedApril 2, 2013
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246

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