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GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1104819259
Internal Medicine - Geriatric Medicine in Agawam, MA

Active since August 24, 2005
464 MAIN ST, HERITAGE HALL EAST, AGAWAM, MA 01001(413) 786-8000(413) 789-1099 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2019, Jul 10, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Genesis Eldercare Physician Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI 1104819259) is a healthcare organization registered as a geriatric medicine in Agawam, Massachusetts and active in the NPI registry since August 2005. The organization lists Eric Shapiro, Vp, Controller, as its authorized official.

NPPES Registry Identity

NPI1104819259
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES LLC
Location Address464 MAIN ST, HERITAGE HALL EASTAgawam, MA 01001
Mailing AddressPo Box 62946Baltimore, MD 21264-2946 · (410) 494-7607 · Fax (610) 925-7387
Phone(413) 786-8000
Fax(413) 789-1099
Organization SubpartNo
Authorized OfficialEric ShapiroVp, Controller · (410) 832-7790
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration
✔ NPI 1104819259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MA · 75866
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
464 MAIN ST, Agawam, MA 01001
Open in Google Maps ↗

Other Identifiers 1

Medicaid9770917MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC.
Skilled Nursing Facility
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MRS. KARA A PHILLIPS PTA
Physical Therapy Assistant
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
DONNA ELLEN DORANS OTR
Occupational Therapist
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MS. JOSEPHINE HAPGOOD PTA
Physical Therapy Assistant
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MS. SHARON MARIE DOWD OTR
Occupational Therapist
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MISS KATHLEEN MARIE CARTIER DPT
Physical Therapist
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MS. JENNIFER ANN O'BRIEN PTA
Physical Therapy Assistant
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 306-6687
DIANE M BELL MS PT
Physical Therapist
464 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Eldercare Physician Services LLC's NPI number?

The NPI number for Genesis Eldercare Physician Services LLC is 1104819259. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Genesis Eldercare Physician Services LLC located?

Genesis Eldercare Physician Services LLC is located at 464 Main St Heritage Hall East, Agawam, MA 01001. The listed phone number is (413) 786-8000.

What is Genesis Eldercare Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Genesis Eldercare Physician Services LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.