OrganizationActive
Genoa Healthcare LLC
NPI 1104646264 · Long Term Care Pharmacy · Green Bay, WI
Genoa Healthcare LLC is a Long Term Care Pharmacy organization in Green Bay, WI (NPI 1104646264).
Provider details
- NPI number
- 1104646264
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3150 Gershwin Drive Suite P
Green Bay, WI 54311-4328
Phone: (920) 930-6779
Street-level locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Genoa Healthcare LLC's NPI number?
- Genoa Healthcare LLC's National Provider Identifier (NPI) is 1104646264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genoa Healthcare LLC?
- Genoa Healthcare LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Genoa Healthcare LLC located?
- Genoa Healthcare LLC's practice location on file with NPPES is 3150 Gershwin Drive Suite P, Green Bay, WI 54311-4328.
- What is Genoa Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Genoa Healthcare LLC is (920) 930-6779.
- Who is the authorized official for Genoa Healthcare LLC?
- The authorized official listed on Genoa Healthcare LLC's NPPES record is Karen Bohmer, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genoa Healthcare LLC's NPI active?
- Yes — Genoa Healthcare LLC's NPI (1104646264) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.