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 1942072517

Genoa Healthcare LLC is a Durable Medical Equipment & Medical Supplies in Maryville, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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

2148 Vadalabene Dr Ste 130
Maryville, IL 62062-5632
Phone: (714) 825-3780
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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 number1942072517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246

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