National Provider Identifier Database

GENESIS ELDER CARE PHYSICIAN SERVICES LLC
Geriatric Medicine

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.


Contact Information

GENESIS ELDER CARE PHYSICIAN SERVICES LLC
660 COMMONWEALTH AVENUE
WARWICK, RI02886-2707
Phone: 401-739-4241
Fax: 401-732-3358
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Gerontology 363LG0600X

* Indicates primary specialty

NPI Profile & details for GENESIS ELDER CARE PHYSICIAN SERVICES LLC

NPI Number 1194774943
Legal business name
LBN
GENESIS ELDER CARE PHYSICIAN SERVICES LLC
Authorized official MARGARET BAKER - (DIR OF BUS OPS)
Entity Organization
Organization subpart No
Enumeration date 05/09/2006
Last updated 04/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: NPP37084
  • RI Medicaid: 9004790

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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