NPIMap

Organization Active NPI

The Wartburg Home of the Evangelical Lutheran Church, Inc.

  • Adult Day Care Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1336650902
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
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
71 Lincoln Ave
New Rochelle, NY 10801-3922
Phone
(914) 513-5472
Fax
(914) 699-2512
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Ms. Eileen Pane
Title
Director of Budget & Reimbursement
Phone
(914) 513-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5903309N NY Primary

Addresses

Primary practice location

71 Lincoln Ave
New Rochelle, NY 10801-3922

Mailing address

1 Wartburg PL BLDG 6
Mount Vernon, NY 10552-3821
Phone (914) 513-5106

Other names 1

  • Wartburg Social Adult Day Care @ Bethesda Doing business as

National Provider Directory

National Provider Directory
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.

Locations

1 Wartburg Pl
Bldg 6
Mount Vernon, NY 10552

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1336650902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARTBURG PL BLDG 6",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523821",
            "telephone_number": "914-513-5106",
            "fax_number": "914-699-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LINCOLN AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013922",
            "telephone_number": "914-513-5472",
            "fax_number": "914-699-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "PANE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "DIRECTOR OF BUDGET & REIMBURSEMENT",
        "authorized_official_telephone_number": "914-513-5106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "5903309N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartburg Social Adult Day Care @ Bethesda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.