Genesis Eldercare Physician Services LLC
Genesis Eldercare Physician Services LLC is a healthcare organization registered as Geriatric Medicine (Internal Medicine) Physician in Windsor, CT, holding Type 2 (organization) NPI 1164415196 since 2005. The authorized official on file is Eric Shapiro, Vp, Area Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164415196 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Eldercare Physician Services LLC |
| Practice address | 1 EMERSON DR, KIMBERLY HALL NORTH, Windsor, CT, 06095 |
| Phone | 8606886443 |
| Fax | 8606885230 |
| Enumeration date | 2005-08-24 |
| Last updated in NPPES | 2019-08-05 |
Authorized official
| Name | Eric Shapiro |
|---|---|
| Title | Vp, Area Controller |
| Phone | 4108327790 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | Primary | — | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004195021 | Medicaid | CT | — |
| 004126919 | Medicaid | CT | — |
Copy-ready billing details
Provider: Genesis Eldercare Physician Services LLC NPI: 1164415196 Taxonomy: 207RG0300X (Geriatric Medicine (Internal Medicine) Physician) Address: 1 EMERSON DR, KIMBERLY HALL NORTH, Windsor, CT, 06095
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235179557 | Genesis Health Ventures of Bloomfield, Inc | Organization | Skilled Nursing Facility | Windsor, CT |
| 1104862507 | Genesis Health Ventures of Bloomfield, Inc | Organization | Skilled Nursing Facility | Windsor, CT |
| 1770616146 | Christopher Shouldice | Individual | Occupational Therapist | Windsor, CT |
| 1922132372 | Andrea Gamble | Individual | Speech-Language Pathologist | Windsor, CT |
| 1447374582 | Rashida Griffin | Individual | Occupational Therapy Assistant | Windsor, CT |
| 1548384183 | Deborah Duren | Individual | Physical Therapist | Windsor, CT |
| 1003930801 | Daniel Webster | Individual | Physical Therapist | Windsor, CT |
| 1063537116 | Christopher Mote | Individual | Occupational Therapy Assistant | Windsor, CT |
Verify this record
Cross-check NPI 1164415196 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 is a Type 2 NPI?
What type of organization is Genesis Eldercare Physician Services LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-08-05.