Active NPI
Homestead Heights of New Berlin
- Gerontology Registered Nurse
- Mifflinburg, PA
National Provider Identifier
1962366245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- Legal business name
- HOMESTEAD HEIGHTS OF NEW BERLIN
- Practice address
- 78 Homestead Heights Dr.
Mifflinburg, PA 17844 - Phone
- (570) 217-0066
- Fax
- (570) 209-8845
- NPI assigned
- Dec 11, 2025
- Organization subpart
- Yes
- Parent organization
- CHURCH OF GOD IN CHRIST MENNONITE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dave Wengerd, ALRA
- Title
- Administrator
- Phone
- (570) 217-0066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | Primary |
Addresses
Primary practice location
78 Homestead Heights Dr.
Mifflinburg, PA 17844
Mailing address
PO Box 144
New Berlin, PA 17855-0144
Phone (570) 217-0066
National Provider Directory
National Provider Directory- Part of
- Homestead Heights of New Berlin
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1962366245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144",
"city": "NEW BERLIN",
"state": "PA",
"postal_code": "178550144",
"telephone_number": "570-217-0066",
"fax_number": "570-209-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 HOMESTEAD HEIGHTS DR.",
"city": "MIFFLINBURG",
"state": "PA",
"postal_code": "17844",
"telephone_number": "570-217-0066",
"fax_number": "570-209-8845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD HEIGHTS OF NEW BERLIN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHURCH OF GOD IN CHRIST MENNONITE",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "WENGERD",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "570-217-0066",
"authorized_official_credential": "ALRA"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mifflinburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.