Peninsula Regional-Genesis Eldercare LLC
Peninsula Regional-Genesis Eldercare LLC is a healthcare organization registered as Skilled Nursing Facility in Salisbury, MD, holding Type 2 (organization) NPI 1922043504 since 2006. The authorized official on file is Michael Berg, Assistant Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922043504 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peninsula Regional-Genesis Eldercare LLC |
| Other name | <Unavail> |
| Practice address | 200 CIVIC AVE, Salisbury, MD, 21804 |
| Phone | 4107491466 |
| Fax | 4107493208 |
| Enumeration date | 2006-06-18 |
| Last updated in NPPES | 2018-08-17 |
Authorized official
| Name | Michael Berg |
|---|---|
| Title | Assistant Secretary |
| Phone | 5054684752 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 22-005 | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039162 | Other | — | AETNA-HMO |
| 0004621000 | Other | — | AMERIHEALTH |
| 086801900 | Medicaid | MD | — |
| ML3 | Other | — | CAREFIRST - IND/PPO |
| ML3 | Other | — | CAREFIRST BLUECHOICE |
| 02B2 | Other | — | CAREFIRST PROV/INQ# |
| 185308 | Other | — | AMERIGROUP |
| 341382 | Other | — | UNITED - MAMSI |
Copy-ready billing details
Provider: Peninsula Regional-Genesis Eldercare LLC NPI: 1922043504 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 200 CIVIC AVE, Salisbury, MD, 21804
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336115500 | William Robins | Individual | Internal Medicine Physician | Salisbury, MD |
| 1831216209 | Sylvia Kaputsos | Individual | Skilled Nursing Facility | Salisbury, MD |
| 1245358407 | Shannon Mcdade | Individual | Physical Therapist | Salisbury, MD |
| 1821116690 | Ronald Shiderly | Individual | Physical Therapist | Salisbury, MD |
| 1386763662 | Jill Toadvine | Individual | Physical Therapist | Salisbury, MD |
| 1063531903 | Kathleen Newson | Individual | Physical Therapy Assistant | Salisbury, MD |
| 1518087295 | Sara Bunting | Individual | Physical Therapy Assistant | Salisbury, MD |
| 1164545646 | Naomi Williamson | Individual | Physical Therapy Assistant | Salisbury, MD |
Verify this record
Cross-check NPI 1922043504 against the authoritative CMS record: view Peninsula Regional-Genesis Eldercare 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 the NPI number for Peninsula Regional-Genesis Eldercare LLC?
Who is the authorized official for Peninsula Regional-Genesis Eldercare LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-17.