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GENOA HEALTHCARE LLC
NPI 1750792248
Pharmacy - Long Term Care Pharmacy in Lake Charles, LA

Active since May 19, 2014
4105 KIRKMAN ST, LAKE CHARLES, LA 70607(337) 426-0906(337) 564-4143 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 24, 2024, Mar 16, 2023, Nov 3, 2022 and 6 more (9 updates tracked since 2015).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1750792248) is a healthcare organization registered as a long term care pharmacy in Lake Charles, Louisiana and active in the NPI registry since May 2014. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1750792248
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address4105 KIRKMAN STLake Charles, LA 70607-4603
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(337) 426-0906
Fax(337) 564-4143
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateMay 19, 2014
Last NPPES UpdateDecember 24, 20249 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1750792248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4105 KIRKMAN ST, Lake Charles, LA 70607
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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 20

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

DEPARTMENT OF HEALTH AND HOSPITALS
Clinic/Center (Rehabilitation, Substance Use Disorder)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
ANNETTE B. SAVOY LCSW
Social Worker (Clinical)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
MR. JODY AUCOIN P.D.
Pharmacist (Psychiatric)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8735
MRS. JENNY KHOURY MILLS LCSW
Social Worker (Clinical)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
CAROLYN ANN DAVIS LPC, NCC, CCDP-D
Counselor (Professional)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
C. ELISKA WAGNON
Counselor (Mental Health)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
WANDA S AGUILLARD NA
Counselor (Mental Health)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
DR. BRUCE WILEY M.D.
Psychiatry & Neurology (Psychiatry)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022

Frequently Asked Questions

What is GENOA HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1750792248, enumerated as an "organization" on May 19, 2014.

Where is the provider located?

The provider is located at 4105 KIRKMAN ST LAKE CHARLES, LA 70607 and the phone number is (337) 426-0906.

What is the provider's specialty?

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

What insurance does GENOA HEALTHCARE LLC accept?

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