GENOA HEALTHCARE LLC
NPI 1396146452
Pharmacy - Long Term Care Pharmacy in Charlotte, NC

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

The NPI number for Genoa Healthcare LLC is 1396146452. It was assigned to this organization in the NPPES registry on September 9, 2014.

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 September 09, 2014

3057 FREEDOM DR RM 116, CHARLOTTE, NC 28208(704) 972-8134(980) 201-2246 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Dec 17, 2024, Mar 16, 2023 and 7 more (10 updates tracked since 2015).

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About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1396146452) is a healthcare organization registered as a long term care pharmacy in Charlotte, North Carolina and active in the NPI registry since September 2014. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1396146452

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameGENOA HEALTHCARE LLC

Location Address3057 FREEDOM DR RM 116Charlotte, NC 28208-3859

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

Phone(704) 972-8134

Fax(980) 201-2246

Organization SubpartNo

Authorized OfficialKaren BohmerSecretary · (224) 231-1833

Enumeration DateSeptember 9, 2014

Last NPPES UpdateJuly 9, 202510 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1396146452 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

3057 FREEDOM DR RM 116, Charlotte, NC 28208

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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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genoa Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNorth CarolinaEnrollment IDO20200925002552Non-DME Part B · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 1396146452. It was assigned to this organization in the NPPES registry on September 9, 2014.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 3057 Freedom Dr Rm 116, Charlotte, NC 28208. The listed phone number is (704) 972-8134.

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.

Is Genoa Healthcare LLC enrolled in Medicare?

Yes. Genoa Healthcare LLC is registered in the Medicare PECOS enrollment system.

When is Genoa Healthcare LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 Arkansas Health & Wellness and 48 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 July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.