GENOA HEALTHCARE, LLC
NPI 1669040283
Pharmacy - Long Term Care Pharmacy in Las Vegas, NV
NPI Status: Active since June 11, 2021
Contact Information
701 SHADOW LN STE 110
LAS VEGAS, NV
ZIP 89106
Phone: (253) 218-0830
- Organization
- Pharmacy
- Long Term Care Pharmacy
- CLIA Number: 29D2297807
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 01-22-2026
About GENOA HEALTHCARE, LLC
This page provides the complete NPI Profile along with additional information for Genoa Healthcare, Llc, a provider established in Las Vegas, Nevada operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1669040283 assigned on June 2021. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Joseph Douglas (Ceo)
- NPI
- 1669040283
- Provider Name
- GENOA HEALTHCARE, LLC
- Entity Type
- Organization
- Location Address
- 701 SHADOW LN STE 110 LAS VEGAS, NV 89106
- Location Phone
- (253) 218-0830
- Mailing Address
- 707 S GRADY WAY STE 700 RENTON, WA 98057
- Mailing Phone
- (253) 218-0830
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2021
- Last Update Date
- 06-28-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 333600000X | Suppliers | Pharmacy | |
| 3 | 3336C0003X | Suppliers | Pharmacy |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2297807
- Facility Type
- Pharmacy
- Certificate Effective Date
- January 23, 2024
- Certificate Expiration Date
- January 22, 2026
- Laboratory Director
- SUSAN HUYNH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genoa Healthcare, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669040283, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LAS VEGAS, NV 89106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669040283, enumerated as an "organization" on June 11, 2021.
The provider is located at 701 SHADOW LN STE 110 LAS VEGAS, NV 89106 and the phone number is (253) 218-0830.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
