OrganizationGenoa Healthcare LlcPharmacySuppliersPractice Address325 W Gowe St Ste 110, Kent, WA 98032-5892(253) 850-2552(253) 218-0830PECOS EnrollmentBased on the most recent information from CMS, provider Genoa Healthcare Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1477007045Provider TypeOrganizationFull NameGenoa Healthcare LlcSubpartNoEnumeration Date8/11/2016Last Updated1/19/2024Contact InformationPractice LocationPractice Address325 W Gowe St Ste 110, Kent, WA 98032-5892Phone(253) 850-2552Fax(253) 518-0720Mailing LocationMailing Address707 S Grady Way Ste 400, Renton, WA 98057-3246Phone(253) 218-0830Fax(253) 217-4306Authorized OfficialNameBohmer, Karen (Secretary)Phone(224) 231-1833Provider TaxonomiesCodeDescriptionLicenseCode3336L0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336C0003XDescriptionPharmacySuppliersLicenseUnlisted Issuer