WARTBURG LUTHERAN HOME FOR THE AGING (NPI# 1164451316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451316 |
| Entity Type | Organization |
| Organization Name | WARTBURG LUTHERAN HOME FOR THE AGING |
| Practice Address |
50 Sheffield Ave Brooklyn NY 11207-2420 |
| Practice Telephone | 7183452273 |
| Practice Fax Number | 7184859236 |
| Mailing Telephone | 7183452273 |
| Mailing Fax Number | 7184859236 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN REAGAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7183452273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7001364N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01113235 | 05 |
| Street Address |
50 SHEFFIELD AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697822 | Ishaaq Syed Hasan | Occupational Therapist | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2020-10-21 |
| 1952931255 | Joyce Mary Regina Hipol Pastor | Physical Therapist | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2020-01-25 |
| 1316487192 | Bernite Loiseau | Occupational Therapy Assistant | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2017-02-28 |
| 1275937617 | Bercelener Thomas | Licensed Practical Nurse | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2014-10-14 |
| 1811338460 | Bushwick Center for Renal Dialysis, LLC | Clinic/Center | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2013-07-11 |
| 1609023555 | Wartburg Receiver, LLC | Skilled Nursing Facility | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2008-08-22 |
| 1225285513 | Wartburg Receiver, LLC | Skilled Nursing Facility | 50 Sheffield Ave, Brooklyn, NY 11207 | 2008-08-19 |
| 1083860373 | Wartburg Receiver LLC | Clinic/Center | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2008-08-18 |
| 1063564177 | Sonny Olalia | Physical Therapist | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2007-01-17 |
| 1730245895 | Leroy F Bradford | Day Training/Habilitation Specialist | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2006-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1194142661 | Hunter Services Center Inc. | Skilled Nursing Facility | 202 E 91st St, A19, Brooklyn, NY 11212-1355 | 2014-03-24 |
| 1477986172 | Hamilton Park Opco LLC | Skilled Nursing Facility | 14c 53rd St, Brooklyn, NY 11232-2644 | 2013-08-16 |
| 1578899076 | Hamilton Park Multicare LLC | Skilled Nursing Facility | 691 92nd St Fl 2, Brooklyn, NY 11228 | 2009-10-19 |
| 1497994800 | Ditmas Park Rehabilitation & Care Center LLC | Skilled Nursing Facility | 2107 Ditmas Ave, Brooklyn, NY 11226-6903 | 2009-02-09 |
| 1992950976 | Menorah Home and Hospital for Aged and Infirm | Skilled Nursing Facility | 871 Bushwick Ave, Brooklyn, NY 11221-3739 | 2008-11-18 |
| 1043492416 | Embassy Snf LLC | Skilled Nursing Facility | 921 E 31st St, Suite 101, Brooklyn, NY 11210-3831 | 2007-11-28 |
| 1376743112 | American Biomed Homecare | Skilled Nursing Facility | 11 Wyona St, Brooklyn, NY 11207-2515 | 2007-07-19 |
| 1881719078 | Etienne Home Care Services,inc | Skilled Nursing Facility | 2920a Cortelyou Rd, Brooklyn, NY 11226 | 2007-03-20 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.