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GEVINAH HEALTHCARE SC
NPI 1134907173
Family Medicine - Geriatric Medicine in Kenosha, WI

Active since September 20, 2023
3100 WASHINGTON RD, KENOSHA, WI 53144(310) 933-5688 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gevinah Healthcare Sc NPPES

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

GEVINAH HEALTHCARE SC (NPI 1134907173) is a healthcare organization registered as a geriatric medicine in Kenosha, Wisconsin and active in the NPI registry since September 2023. The organization lists Michael Farah, Owner, as its authorized official.

NPPES Registry Identity

NPI1134907173
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGEVINAH HEALTHCARE SC
Location Address3100 WASHINGTON RDKenosha, WI 53144-1604
Mailing Address15910 Ventura Blvd Ste 1701Encino, CA 91436-2816 · (310) 933-5688 · Fax (310) 616-5188
Phone(310) 933-5688
Organization SubpartNo
Authorized OfficialMichael FarahOwner · (310) 933-5688
Enumeration DateSeptember 20, 2023
Last NPPES UpdateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1134907173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with 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.
3100 WASHINGTON RD, Kenosha, WI 53144
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

MRS. JILL MARIE FONK MS, OTR/L
Occupational Therapist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4074
CASSANDRA GRANT
Speech-Language Pathologist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (414) 507-9646
CHRISTIE LEZON OTRL
Occupational Therapist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4622
DR. MATTHEW LAWLER DPT
Physical Therapist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4622
MRS. ANNA MARIA SANTELLE MA CCCSLP
Speech-Language Pathologist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4623
CLAUDIA ANN STELTER P.T.
Physical Therapist
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4622
AMY LYNN RENZONI PTA
Physical Therapy Assistant
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4074
HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
Skilled Nursing Facility
3100 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 658-4622

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 Gevinah Healthcare Sc's NPI number?

The NPI number for Gevinah Healthcare Sc is 1134907173. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Gevinah Healthcare Sc located?

Gevinah Healthcare Sc is located at 3100 Washington Rd, Kenosha, WI 53144. The listed phone number is (310) 933-5688.

What is Gevinah Healthcare Sc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Gevinah Healthcare Sc was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.