Genesis Eldercare Physician Services Llc
LBN: Genesis Eldercare Physician Services Llc
Genesis Eldercare Physician Services Llc is an health care organization with primary practice located at 1 Emerson Dr Kimberly Hall North, Windsor CT 06095. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Genesis Eldercare Physician Services Llc can be contacted via phone (860) 688-6443, or through Shapiro, Eric via phone (410) 832-7790.
Contact Information
Primary practice address
1 Emerson Dr Kimberly Hall North
Windsor CT 06095
Phone: (860) 688-6443
Fax: (860) 688-5230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | Connecticut |
Profile Details
| NPI number | 1164415196 |
|---|---|
| LBN Legal business name | Genesis Eldercare Physician Services Llc |
| DBA Doing business as | |
| Authorized official | Shapiro, Eric |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Aug 5th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164415196 | NPPES |
| Connecticut | MEDICAID | 004195021 | |
| Connecticut | MEDICAID | 004126919 |
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