Organization Name: | GENOA A QOL HEALTHCARE COMPANY LLC |
NPI Number: | 1770958878 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN NIEMEYER (VP-CONTROLLER/CAO) |
Mailing Address: | 791 Chambers Rd Rm 152 Aurora |
State: | CO US |
Postal Code: | 800117112 |
Phone Number: | 6038227168 |
Fax Number: | 6033309541 |
NPI Enumeration Date: | 12/01/2015 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |