Wartburg Home of the Evangelical Lutheran Church

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5903900L Issued in NY

Legal business name

WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH

Practice address

1 Wartburg Place
Mount Vernon, NY 10552-3821

Phone

(914) 699-0800

Fax

(914) 699-2512

NPI assigned

Jan 17, 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 1

Other names 1

• Wartburg CHHA Doing business as

Locations

Practitioners 1

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

• Nicole C. Leone

  • Registered Nurse
  • New Rochelle, NY
  • NPI 1982011748
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1215089479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARTBURG PLACE",
            "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 PLACE",
            "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": "2007-01-17",
        "last_updated": "2017-01-18",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5903900L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartburg CHHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Allison Watson

• Home Health Agency in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.