GENOA HEALTHCARE
NPI 1235649609
Pharmacy - Long Term Care Pharmacy in Seattle, WA

Q: What is Genoa Healthcare LLC's NPI number?

The NPI number for Genoa Healthcare LLC is 1235649609. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Genoa Healthcare.

Q: What is Genoa Healthcare LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since October 11, 2017CLIA 50D2192758 · Waiver

11000 LAKE CITY WAY NE STE 421, SEATTLE, WA 98125(206) 480-0100(206) 259-2810 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 26, 2024, Mar 21, 2023, Nov 1, 2022 and 10 more (13 updates tracked since 2017).

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About Genoa Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENOA HEALTHCARE (NPI 1235649609) is a healthcare organization registered as a long term care pharmacy in Seattle, Washington and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1235649609

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameGENOA HEALTHCARE LLC

Location Address11000 LAKE CITY WAY NE STE 421Seattle, WA 98125-6748

Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306

Phone(206) 480-0100

Fax(206) 259-2810

Organization SubpartNo

Authorized OfficialKaren BohmerSecretary · (224) 231-1833

Enumeration DateOctober 11, 2017

Last NPPES UpdateDecember 26, 202413 updates tracked since enumeration

NPPES CertifiedDecember 26, 2024

✔ NPI 1235649609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

11000 LAKE CITY WAY NE STE 421, Seattle, WA 98125

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Other Names 1

Doing Business AsGenoa Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2192758

Genoa Healthcare LLC · Seattle, WA

Active · expires Apr 4, 2028

CLIA Number50D2192758

Laboratory TypePharmacy

Certificate Effective DateSeptember 14, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorKanchan K. Nirgun

Laboratory Phone(206) 480-0100

Laboratory LocationGenoa Healthcare LLC11000 Lake City Way NE Ste 421, Seattle, WA 98125

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genoa Healthcare LLC's NPI number?

The NPI number for Genoa Healthcare LLC is 1235649609. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Genoa Healthcare.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 11000 Lake City Way NE Ste 421, Seattle, WA 98125. The listed phone number is (206) 480-0100.

What is Genoa Healthcare LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Genoa Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2192758) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genoa Healthcare LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Genoa Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genoa Healthcare LLC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.