Genm Senior Care Consulting Group LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

GENM SENIOR CARE CONSULTING GROUP LLC

Practice address

67 Masonic Ave
Wallingford, CT 06492-3095

Phone

(203) 678-7857

NPI assigned

May 17, 2023

Organization subpart

Yes

Parent organization

MASONICARE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven D Beaulieu

Title

Cfo VP, Finance

Phone

(203) 678-7857

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0902817a-ed68-43fa-954a-bea5acd79d50/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hillary H Lewis

  • Audiologist
  • Wallingford, CT
  • NPI 1992839690
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1699466987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927001",
            "telephone_number": "203-678-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-678-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENM SENIOR CARE CONSULTING GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASONICARE CORPORATION",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO VP, FINANCE",
        "authorized_official_telephone_number": "203-678-7857"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian Geyser, APRN

• All providers in Wallingford, CT
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.