Wartburg Home of the Evangelical Lutheran Church

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5903309N Issued in NY

Legal business name

WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH

Practice address

1 Wartburg PL
Mount Vernon, NY 10552-3821

Phone

(914) 699-0800

Fax

(914) 699-2512

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Gentner

Title

Ceo/President

Phone

(914) 513-5311

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Wartburg Home Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335269

Legal name

WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH

Doing business as

WARTBURG NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 7, 1968

Last certification

Jun 20, 2023

Beds

210

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 20, 1991 in NY

Enrollment address

1 Bradley Ave
Mt Vernon, NY 10552

Nursing home name

THE WARTBURG HOME

Listed as

The Wartburg HomeCCN 335269

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 7, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

21047.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

The Wartburg Home of the Evangelical Lutheran Church5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Wartburg Home of the Evangelical Lutheran Church

  • Adult Day Care Clinic/Center
  • Mount Vernon, NY
  • NPI 1447702253
  NPD tax ID
• The Wartburg Home of the Evangelical Lutheran Church, Inc.

  • Adult Day Care Clinic/Center
  • Mount Vernon, NY
  • NPI 1215489232
  NPD tax ID
• The Wartburg Home of the Evangelical Lutheran Church, Inc.

  • Adult Day Care Clinic/Center
  • New Rochelle, NY
  • NPI 1336650902
  NPD tax ID
• The Wartburg Home of the Evangelical Lutheran Church, Inc.

  • Rehabilitation Clinic/Center
  • Mount Vernon, NY
  • NPI 1689116709
  NPD tax ID

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

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

• Gary Ishkanian

  • Internal Medicine Physician
  • Mount Vernon, NY
  • NPI 1568541100
  NPD (past)
• Francis Polcari, MD

  • Internal Medicine Physician
  • Mount Vernon, NY
  • NPI 1679626071
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Francis Polcari, MD

  • Internal Medicine Physician
  • Mount Vernon, NY
  • NPI 1679626071

  Nursing home

  Care Compare affiliation
• Adnan Yunus, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronxville, NY
  • NPI 1174843213

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1154471258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARTBURG PL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523821",
            "telephone_number": "914-699-0800",
            "fax_number": "914-699-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARTBURG PL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523821",
            "telephone_number": "914-699-0800",
            "fax_number": "914-699-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "GENTNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "914-513-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5903309N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309059",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0660692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7100136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A769950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "007609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartburg Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wartburg Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Wallach, STUDENT/INTERN
• Tanika Marie Walrond
• Maria Walsh
• Nicholas Walsh, MD
• Dionne Rosemarie Walters, RN, BSN
• Wartburg Home of the Evangelical Lutheran Church
• Ruth M Warwick, L.C.S.W.
• Raquel M Wasserman
• Alicia Waters
• Sharon Beverly Watkis, LMHC

• Skilled Nursing Facility in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.