NPIMap

Organization Active NPI

The Wartburg Home of the Evangelical Lutheran Church, Inc.

  • Rehabilitation Clinic/Center
  • Mount Vernon, NY
National Provider Identifier
1689116709
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 5903309N NY Primary

Addresses

Primary practice location

1 Wartburg PL
Mount Vernon, NY 10552-3821

Mailing address

1 Wartburg PL
Mount Vernon, NY 10552-3821
Phone (914) 699-0800

Other names 1

  • Wartburg Outpatient Rehabilitation Services Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1689116709",
    "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": "2016-11-07",
        "last_updated": "2016-11-07",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "5903309N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartburg Outpatient Rehabilitation Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.