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 1912464496

Genoa Healthcare LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
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

4900 Wyalusing Ave Rm 106/108
Philadelphia, PA 19131-5127
Phone: (215) 764-6519
Fax: (215) 477-1537
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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 number1912464496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
NPI enumeratedFebruary 21, 2019
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246

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