THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC. (NPI# 1154471258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154471258 |
| Entity Type | Organization |
| Organization Name | THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC. |
| Other Organization Name | WARTBURG HOME |
| Practice Address |
1 Wartburg Pl Mount Vernon NY 10552-3821 |
| Practice Telephone | 9146990800 |
| Practice Fax Number | 9146992512 |
| Mailing Telephone | 9146990800 |
| Mailing Fax Number | 9146992512 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MR. DAVID GENTNER (CEO/PRESIDENT) |
| Authorized Official Telephone | 9145135311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5903309N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 0660692 | 01 |
| NY | BCBC | 007609 | 01 |
| NY | UNITED HEALTH CARE | 7100136 | 01 |
| NY | 00309059 | 05 | |
| NY | OXFORD | A769950 | 01 |
| Other Name | Type Code |
|---|---|
| Wartburg Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650902 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 71 Lincoln Ave, New Rochelle, NY 10801-3922 | 2017-10-23 |
| 1689116709 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-11-07 |
| 1215489232 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-25 |
| Street Address |
1 WARTBURG PL |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053477448 | Geriatric Medical Service, Pllc | Internal Medicine | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2006-12-29 |
| 1972137982 | Xiyu Zhang | Music Therapist | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2020-02-28 |
| 1780215517 | Anabelle Arias | Counselor | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2020-01-30 |
| 1033751169 | Zahava G Roth | Dietitian, Registered | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2019-10-09 |
| 1689116709 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-11-07 |
| 1447702253 | The Wartburg Home of The Evangelical Lutheran Church | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-27 |
| 1215489232 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-25 |
| 1114301173 | Sarah Meltzer | Occupational Therapist | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2015-07-18 |
| 1710150305 | Judith Ann Glaser | Physical Medicine & Rehabilitation | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2008-04-04 |
| 1518019827 | The Wartburg Residential Community, Inc. | Home Health | 1 Wartburg Pl, Bldg 10, 2nd Floor, Mount Vernon, NY 10552-3821 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541119 | Dawson Service Solution LLC | In Home Supportive Care | Sheridan Avenue, Mount Vernon, NY 10552 | 2020-02-27 |
| 1821648908 | Yvonne Euretta Thorpe-roswell | Technician | 457 North Columbus Avenue, Mount Vernon, NY 10552 | 2019-09-19 |
| 1598256539 | Professional Orthopedic and Sports Physical Therapy PC | Clinic/Center | 599 Gramatan Ave Ste 205, Fleetwood, NY 10552 | 2018-05-25 |
| 1346770096 | Tina Earle | Registered Nurse | 544 North Terrace Ave, Mt. Vernon, NY 10552 | 2017-06-15 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1447702014 | Ilone Bajjo | Nurse Practitioner | 6 Lenox Ave, Mt. Vernon, NY 10552 | 2016-10-31 |
| 1023561578 | Angella D Brown | Registered Nurse | 180 Pearsole Drive, Apt D1e, Mt Vernon, NY 10552 | 2016-08-02 |
| 1053789479 | Julinnis Morales | Occupational Therapist | 72 Lexington Ave, Mount Vernon, NY 10552 | 2015-09-02 |
| 1053788760 | Kadisha Currie | Early Intervention Provider Agency | 161 Pearsall Drive 4d, Mount Vernon, NY 10552 | 2015-08-28 |
| 1679969968 | Nisha Murray | Behavioral Analyst | 21 W Devonia Ave, Mount Vernon, NY 10552 | 2015-04-13 |
| Find all providers in zip 10552 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056491 | Als Mount Vernon Inc | Skilled Nursing Facility | 1135 Gambier Rd, Mount Vernon, OH 43050-3839 | 2017-07-19 |
| 1679029110 | Tameka Bremmer | Skilled Nursing Facility | 171 W Kingsbridge Rd, 3rd Fl, Mount Vernon, NY 10550-4831 | 2016-08-25 |
| 1982813341 | Missouri Veterans Commission | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2007-05-22 |
| 1689795379 | Ssc Mount Vernon Operating Company LLC | Skilled Nursing Facility | 1001 S 34th St, Mount Vernon, IL 62864-6232 | 2007-04-02 |
| 1437214970 | Mira Vista Corporation | Skilled Nursing Facility | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2006-12-26 |
| 1598831869 | Mount Vernon Elderly Services LLC | Skilled Nursing Facility | 1350 Yauger Rd, Mount Vernon, OH 43050-9233 | 2006-11-28 |
| 1053483818 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620-9301 | 2006-11-15 |
| 1841374238 | Mt Vernon Nursing Home Inc | Skilled Nursing Facility | 501 Yates St, Mount Vernon, TX 75457-3233 | 2006-10-24 |
| 1558301812 | Tandem Health Care of Mt. Vernon, Inc. | Skilled Nursing Facility | 416 Wooster Rd, Mount Vernon, OH 43050-1216 | 2006-06-07 |
| 1861440174 | Westchester Center for Rehabilitation and Nursing | Skilled Nursing Facility | 10 Claremont Ave, Mount Vernon, NY 10550-1609 | 2006-05-05 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10552 |
Please comment or provide details below to improve the information on THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.