Genesis Eldercare Physician Services LLC
Genesis Eldercare Physician Services LLC is a healthcare organization registered as Geriatric Medicine (Internal Medicine) Physician in Agawam, MA, holding Type 2 (organization) NPI 1104819259 since 2005. The authorized official on file is Eric Shapiro, Vp, Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104819259 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Eldercare Physician Services LLC |
| Practice address | 464 MAIN ST, HERITAGE HALL EAST, Agawam, MA, 01001 |
| Phone | 4137868000 |
| Fax | 4137891099 |
| Enumeration date | 2005-08-24 |
| Last updated in NPPES | 2019-08-05 |
Authorized official
| Name | Eric Shapiro |
|---|---|
| Title | Vp, Controller |
| Phone | 4108327790 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | Primary | 75866 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9770917 | Medicaid | MA | — |
Copy-ready billing details
Provider: Genesis Eldercare Physician Services LLC NPI: 1104819259 Taxonomy: 207RG0300X (Geriatric Medicine (Internal Medicine) Physician) Address: 464 MAIN ST, HERITAGE HALL EAST, Agawam, MA, 01001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033152046 | Genesis Health Ventures of Massachusetts, Inc. | Organization | Skilled Nursing Facility | Agawam, MA |
| 1972628550 | Paulo Afonso | Individual | Physical Therapist | Agawam, MA |
| 1396860102 | Diane Bell | Individual | Physical Therapist | Agawam, MA |
| 1568587319 | Michelle Stevens | Individual | Occupational Therapist | Agawam, MA |
| 1720103492 | Claudia Dixon | Individual | Physical Therapist | Agawam, MA |
| 1982729653 | Kimberly Dewey | Individual | Speech-Language Pathologist | Agawam, MA |
| 1952426637 | Suzanne Cunningham | Individual | Occupational Therapist | Agawam, MA |
| 1144345851 | Josephine Hapgood | Individual | Physical Therapy Assistant | Agawam, MA |
Verify this record
Cross-check NPI 1104819259 against the authoritative CMS record: view Genesis Eldercare Physician Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Genesis Eldercare Physician Services LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-08-05.