1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Pharmacy
  6. NPI Profile

GENOA HEALTHCARE LLC
NPI 1851602213
Pharmacy - Long Term Care Pharmacy in Portland, OR

Active since June 30, 2010
18417 SE OAK ST, PORTLAND, OR 97233(503) 465-5849(503) 912-7571 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Dec 24, 2024, Mar 13, 2023 and 5 more (8 updates tracked since 2019).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1851602213) is a healthcare organization registered as a long term care pharmacy in Portland, Oregon and active in the NPI registry since June 2010. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1851602213
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address18417 SE OAK STPortland, OR 97233-4850
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 735-4741
Phone(503) 465-5849
Fax(503) 912-7571
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateJune 30, 2010
Last NPPES UpdateDecember 9, 20258 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1851602213 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
18417 SE OAK ST, Portland, OR 97233
Open in Google Maps ↗

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genoa Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20200924001552Non-DME Part B · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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.

JENNIFER WILLIS QMHA
Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
GOLDANN SALAZAR LOPEZ
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (503) 645-3581
AMANDA NICOLE SONJU
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
MARIANA CORTES GUTIERREZ
Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
BENJAMIN GULICK
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
MAYA EVANGELINE BERMAN
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
GRACE TAYLOR
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
BREANNA FANNING
Counselor (Mental Health)
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026

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 1851602213. It was assigned to this organization in the NPPES registry on June 30, 2010.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 18417 SE Oak St, Portland, OR 97233. The listed phone number is (503) 465-5849.

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.

Is Genoa Healthcare LLC enrolled in Medicare?

Yes. Genoa Healthcare LLC is registered in the Medicare PECOS enrollment system.

When is Genoa Healthcare LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 Arkansas Health & Wellness and 44 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 December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.