The Wartburg Home of the Evangelical Lutheran Church, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

5903309N Issued in NY

Legal business name

THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.

Practice address

1 Wartburg PL
Mount Vernon, NY 10552-3821

Phone

(914) 699-0800

Fax

(914) 699-2512

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

David Gentner

Title

Ceo/President

Phone

(914) 513-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wartburg Adult Day Services Medical Model Other name

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
  • 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
• Wartburg Home of the Evangelical Lutheran Church

  • Skilled Nursing Facility
  • Mount Vernon, NY
  • NPI 1154471258
  NPD tax ID

Locations

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1215489232",
    "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": "THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "5903309N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS",
            "identifier": "01024437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartburg Adult Day Services Medical Model",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Mount Vernon Hospital
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• The Wartburg Home of the Evangelical Lutheran Church
• The Wartburg Home of the Evangelical Lutheran Church, Inc.
• The Wartburg Residential Community, Inc.
• Amantha Theodore
• Therapy-Helps LCSW, PLLC
• Thomas Family Practice Family Health NP Services PLLC

• Adult Day Care Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.