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

Q: 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.

Q: 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.

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: July 19, 2026.

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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.

STELLA VIKTORIVNA MEINERT PTA

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