Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Eldercare Physician Services LLC

Organization Internal Medicine Physician · NPI 1164415196

Genesis Eldercare Physician Services LLC is an Internal Medicine Physician in Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Emerson Dr Kimberly Hall N
Windsor, CT 06095
Phone: (860) 688-6443
Fax: (860) 688-5230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X (CT)
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1164415196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Shapiro — Vp, Area Controller · (410) 832-7790
NPI enumeratedAugust 24, 2005
Last updated in NPPESAugust 5, 2019
Mailing addressPo Box 62946, Baltimore, MD 21264-2946

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