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 1194440974

Genoa Healthcare LLC is a Durable Medical Equipment & Medical Supplies in Jackson, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
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

45 Executive Dr Ste P
Jackson, TN 38305-2310
Phone: (253) 218-0830
Fax: (253) 217-4306
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1194440974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
NPI enumeratedOctober 5, 2022
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246

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