- Practice location
- 9 Haywood Ave, Mountain View Center, Rutland, VT 05701
- Phone
- 802-775-0007
- Fax
- 802-775-6895
- Last updated
- August 5, 2019
Genesis Eldercare Physician Services LLC is a healthcare organization based in Rutland, VT. Genesis Eldercare Physician Services LLC practices in Rutland, VT. The NPI Number for Genesis Eldercare Physician Services LLC is 1477576304 and holds a License No. 101-0025776 (VT). The current practice location address for Genesis Eldercare Physician Services LLC is 9 Haywood Ave, Mountain View Center, Rutland, VT 05701 and can be reached out via phone at 802-775-0007 and via fax at 802-775-6895.
Provider Profile Details
- NPI Number
- 1477576304
- Provider Name
- Genesis Eldercare Physician Services LLC
- Provider Entity Type
- Organization
- Address
- 9 Haywood Ave, Mountain View Center, Rutland, VT 05701
- Phone Number
- 802-775-0007
- Fax Number
- 802-775-6895
- Primary Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X
- Organization Subpart
- No
- Authorized Official
- Mr. Eric Shapiro · Vp, Controller · 410-832-7790
- Provider Enumeration Date
- July 25, 2006
- Last Update Date
- August 5, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Haywood Ave
Mountain View Center
Rutland, VT 05701 - City
- Rutland
- State
- Vermont
- Zip
- 05701
- Phone Number
- 802-775-0007
- Fax Number
- 802-775-6895
Provider Business Mailing Address Details
- Address
- Po Box 62946
Baltimore, MD 21264-2946 - City
- Baltimore
- State
- MD
- Zip
- 21264-2946
- Phone Number
- 410-494-7607
- Fax Number
- 610-925-7387
License Information
- License Number (1)
- 101-0025776
- License State (1)
- VT
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- 101-0019819
- License State (2)
- VT
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
- Taxonomy (3)
- Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Genesis Eldercare Physician Services LLC?
The NPI number of Genesis Eldercare Physician Services LLC is 1477576304. It was assigned on July 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Genesis Eldercare Physician Services LLC?
Genesis Eldercare Physician Services LLC is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in VT under license number 101-0025776.
Where does Genesis Eldercare Physician Services LLC practice?
The practice location is 9 Haywood Ave, Mountain View Center, Rutland, VT 05701. The office can be reached at 802-775-0007 (phone) or 802-775-6895 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477576304 directly on the NPPES registry website.