GENOA HEALTHCARE LLC
NPI 1790223295
Pharmacy - Long Term Care Pharmacy in Chicago, IL

Active since February 03, 2017
4423 N RAVENSWOOD AVE STE P100, CHICAGO, IL 60640(773) 313-3075(312) 477-0922 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2023, Mar 20, 2023, Nov 9, 2022 and 5 more (8 updates tracked since 2017).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1790223295) is a healthcare organization registered as a long term care pharmacy in Chicago, Illinois and active in the NPI registry since February 2017. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1790223295
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address4423 N RAVENSWOOD AVE STE P100Chicago, IL 60640-5802
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Fax(312) 477-0922
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateFebruary 3, 2017
Last NPPES UpdateJanuary 17, 20248 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1790223295 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
4423 N RAVENSWOOD AVE STE P100, Chicago, IL 60640

Accepted 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.

Pharmacist
4423 N RAVENSWOOD AVE STE P100
CHICAGO, IL 60640
Pharmacist
4423 N RAVENSWOOD AVE STE P100
CHICAGO, IL 60640

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 1790223295. It was assigned to this organization in the NPPES registry on February 3, 2017.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 4423 N Ravenswood Ave Ste P100, Chicago, IL 60640. The listed phone number is (773) 313-3075.

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 50 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 January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.