Organization Active NPI

Homestead Heights of New Berlin

  • Gerontology Registered Nurse
  • Mifflinburg, PA
National Provider Identifier
1962366245
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
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 MENNONITEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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)CodeLicenseStatePrimary
Gerontology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.