THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC. (NPI# 1215489232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215489232 |
Entity Type | Organization |
Organization Name | THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC. |
Other Organization Name | WARTBURG ADULT DAY SERVICES MEDICAL MODEL |
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 | 2016-10-25 |
Last Update Date | 2016-10-25 |
Authorized Official Name | DAVID GENTNER (CEO/PRESIDENT) |
Authorized Official Telephone | 9145135311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
5903309N | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MMIS | 01024437 | 01 |
Other Name | Type Code |
---|---|
Wartburg Adult Day Services Medical Model | 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 |
1154471258 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Skilled Nursing Facility | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2007-01-11 |
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 |
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 |
1154471258 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Skilled Nursing Facility | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2007-01-11 |
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 | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275163792 | Mount Vernon Adult Center LLC | Clinic/Center | 22 E 1st St, Mount Vernon, NY 10550-3301 | 2020-01-23 |
1629479662 | Westchester Consumer Empowerment Center, Inc. | Clinic/Center | 20 E First St Ste 203, Mount Vernon, NY 10550-3327 | 2014-09-09 |
1801202155 | Mount Vernon Social Adult Day Care Center LLC | Clinic/Center | 22 E First St, Mount Vernon, NY 10550-3301 | 2014-07-08 |
1659595304 | Rockcastle County Adult Health Care | Clinic/Center | 1260 S. Wilderness Road, Mount Vernon, KY 40456 | 2007-04-12 |
1679072516 | Minnie Mae Social Adult Day Center LLC | Clinic/Center | 301 S Fulton Ave, Mount Vernon, NY 10553 | 2018-02-06 |
1457886756 | Big Apple Social Inc | Clinic/Center | 559 Gramatan Ave, Suite 201, Mount Vernon, NY 10552-2155 | 2017-04-24 |
1447702253 | The Wartburg Home of The Evangelical Lutheran Church | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-27 |
1013238898 | Arthur H. Elkind,m.d.,p.c. | Clinic/Center | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2010-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699091 | Aging With Grace LLC | Clinic/Center | 690 Route 211 E, Middletown, NY 10941-1758 | 2020-11-04 |
1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
1578173415 | Access Initiative LLC | Clinic/Center | 64 E 111th St Apt 907, New York, NY 10029-2688 | 2020-08-05 |
1225648454 | Angelica's Angels LLC | Clinic/Center | 188 Riverside Dr, Fultonville, NY 12072-1825 | 2020-08-03 |
1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
1821618919 | Bnb Adult Daycare Corp | Clinic/Center | 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 | 2020-04-20 |
1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
1679105738 | Mommy Social Adult Day Care, Inc. | Clinic/Center | 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 | 2020-02-06 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 10552 |
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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.