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 9 Haywood Ave Mountain View Center, Rutland VT 05701. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Genesis Eldercare Physician Services Llc can be contacted via phone (802) 775-0007, or through Shapiro, Eric via phone (410) 832-7790.

Contact Information

Primary practice address
9 Haywood Ave Mountain View Center Rutland VT 05701
Phone: (802) 775-0007
Fax: (802) 775-6895
Website:
Map and Directions
Authorized official contact:
Name: Shapiro, Eric
Phone: (410) 832-7790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101-0025776 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 101-0019819 Vermont

Profile Details

NPI number 1477576304
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 Jul 25th, 2006
Last updated Aug 5th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477576304 NPPES
Vermont MEDICAID 1104819259

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