NPIMap

Organization Active NPI

Wartburg Receiver LLC

  • Adult Day Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1326298209
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7001364N Issued in NY
Legal business name
WARTBURG RECEIVER LLC
Doing business as
Centers Adult Day Care At Trinity
Practice address
17261 Baisley Blvd
Jamaica, NY 11434-2614
Phone
(718) 525-2997
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Mr. Kenneth Rozenberg
Title
Member
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7001364N NY Primary

Addresses

Primary practice location

17261 Baisley Blvd
Jamaica, NY 11434-2614

Mailing address

4770 White Plains Rd
Bronx, NY 10470
Phone (718) 931-9700

Other identifiers 1

IdentifierTypeStateIssuer
01283105MedicaidNY

Other names 1

  • Centers Adult Day Care At Trinity Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bushwick Center for Rehabilitation and H4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

17261 Baisley Blvd
Jamaica, NY 11434
Phone (718) 525-2997

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1326298209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10470",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17261 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342614",
            "telephone_number": "718-525-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTBURG RECEIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7001364N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01283105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centers Adult Day Care At Trinity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centers Adult Day Care At Trinity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.