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GENESIS ELDERCARE PHYSICIAN SERVICES LLC NPI 1821011792


NPI Information

NPI: 1821011792
Provider Name: GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
239 PLEASANT ST
PLEASANT VIEW NURSING CENTER
CONCORD, NH
ZIP 03301
Phone: (603) 224-6561
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GENESIS ELDERCARE PHYSICIAN SERVICES LLC is a geriatric medicine internal medicine in Concord, NH. The provider is 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 NPI is 1821011792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

239 PLEASANT ST
PLEASANT VIEW NURSING CENTER
CONCORD, NH
ZIP 03301
Phone: (603) 224-6561
Fax: (603) 224-8530

The provider's authorized official is Eric Shapiro .
The authorized official title is Vp, Controller and has the following contact phone number (410) 832-7790.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontology045267-23-03NEW HAMPSHIRENo
2207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130212261MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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