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GENOA HEALTHCARE LLC
NPI 1639644594
Pharmacy - Long Term Care Pharmacy in Otsego, MN

Active since October 08, 2018
9245 QUANTRELLE AVE, SUITE P1, OTSEGO, MN 55330(763) 703-1180(763) 251-0115 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 14, 2025, Mar 21, 2023, Nov 7, 2022 and 4 more (7 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 1639644594) is a healthcare organization registered as a long term care pharmacy in Otsego, Minnesota and active in the NPI registry since October 2018. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1639644594
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address9245 QUANTRELLE AVE, SUITE P1Otsego, MN 55330
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(763) 703-1180
Fax(763) 251-0115
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateOctober 8, 2018
Last NPPES UpdateFebruary 14, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1639644594 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
9245 QUANTRELLE AVE, Otsego, MN 55330
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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 Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN BAUER MA
Counselor (Mental Health)
9245 QUANTRELLE AVE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
ALLISON MARIE PARRANTO LMFT
Marriage & Family Therapist
9245 QUANTRELLE AVE
OTSEGO, MN 55330
Sherburne County (763) 746-9492

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 1639644594. It was assigned to this organization in the NPPES registry on October 8, 2018.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 9245 Quantrelle Ave Suite P1, Otsego, MN 55330. The listed phone number is (763) 703-1180.

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.

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 February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.