THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.


Address: 1 Wartburg Pl, Mount Vernon, NY 10552-3821
Phone: 9146990800

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
5903309N NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY MMIS 01024437 01

Other Provider/Organization Names

Other Name Type Code
Wartburg Adult Day Services Medical Model Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1 WARTBURG PL
City MOUNT VERNON
State NY
Zip Code 10552-3821

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MOUNT VERNON
Zip Code 10552

Improve Information

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Dataset Information

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.

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