GENOA HEALTHCARE LLC
NPI 1497773014
Pharmacy - Long Term Care Pharmacy in Fort Wayne, IN

Active since July 18, 2006
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 373-2039(260) 748-2065 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2023, Nov 8, 2022, Apr 26, 2021 and 2 more (5 updates tracked since 2018).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1497773014) is a healthcare organization registered as a long term care pharmacy in Fort Wayne, Indiana and active in the NPI registry since July 2006. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1497773014
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Fax(260) 748-2065
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 27, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1497773014 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
909 E STATE BLVD, Fort Wayne, IN 46805

Accepted Insurance

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Child & Adolescent Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Marriage & Family Therapist
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Marriage & Family Therapist
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Marriage & Family Therapist
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497773014, enumerated as an "organization" on July 18, 2006.

The provider is located at 909 E STATE BLVD FORT WAYNE, IN 46805 and the phone number is (260) 373-2039.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.