GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1164415196
Internal Medicine - Geriatric Medicine in Windsor, CT

Q: 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.

Active since August 24, 2005

1 EMERSON DR, KIMBERLY HALL NORTH, WINDSOR, CT 06095(860) 688-6443(860) 688-5230 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2019, Oct 18, 2018, Jul 10, 2018 and 1 more (4 updates tracked since 2018).

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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 1164415196) is a healthcare organization registered as a geriatric medicine in Windsor, Connecticut and active in the NPI registry since August 2005. The organization lists Eric Shapiro, Vp, Area Controller, as its authorized official.

NPPES Registry Identity

NPI1164415196

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES LLC

Location Address1 EMERSON DR, KIMBERLY HALL NORTHWindsor, CT 06095

Mailing AddressPo Box 62946Baltimore, MD 21264-2946 · (410) 494-7607 · Fax (610) 925-7387

Phone(860) 688-6443

Fax(860) 688-5230

Organization SubpartNo

Authorized OfficialEric ShapiroVp, Area Controller · (410) 832-7790

Enumeration DateAugust 24, 2005

Last NPPES UpdateAugust 5, 20194 updates tracked since enumeration

✔ NPI 1164415196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

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.

Also ListedInternal MedicineTaxonomy 207R00000X

1 EMERSON DR, Windsor, CT 06095

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Other Identifiers 2

Medicaid004195021CT

Medicaid004126919CT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

MR. CHRISTOPHER JAMES SHOULDICE O.T.R.

Occupational Therapist