GENESIS ELDERCARE PHYSICIAN SERVICES LLC – NPI #1164415196
Internal Medicine
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.
GENESIS ELDERCARE PHYSICIAN SERVICES LLC is a provider located in WINDSOR, CT. NPPES has assigned the NPI number 1164415196 to GENESIS ELDERCARE PHYSICIAN SERVICES LLC on August 24, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine
The NPI profile was previously updated about 7 years ago on Aug 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESIS ELDERCARE PHYSICIAN SERVICES LLC below.
NPI Profile for
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
(about 21 years ago)
KIMBERLY HALL NORTH
WINDSOR, CT 06095 Phone: (860) 688-6443 Fax: (860) 688-5230
BALTIMORE, MD 21264-2946 Phone: (410) 494-7607 Fax: (610) 925-7387
VP, AREA CONTROLLER
Phone: (410) 832-7790
Identifiers for GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CT | 004126919 | |
| MEDICAID | CT | 004195021 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RG0300X - Internal Medicine / Geriatric Medicine (Primary) |
CT | |
| 207R00000X - Internal Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.