WARTBURG RECEIVER LLC (NPI# 1326298209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326298209 |
| Entity Type | Organization |
| Organization Name | WARTBURG RECEIVER LLC |
| Other Organization Name | CENTERS ADULT DAY CARE AT TRINITY |
| Practice Address |
17261 Baisley Blvd Jamaica NY 11434-2614 |
| Mailing Address |
4770 White Plains Rd Bronx NY 10470 |
| Practice Telephone | 7185252997 |
| Mailing Telephone | 7189319700 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | MR. KENNETH ROZENBERG (MEMBER) |
| Authorized Official Telephone | 7189319700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
7001364N | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01283105 | 05 |
| Other Name | Type Code |
|---|---|
| Centers Adult Day Care At Trinity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407006711 | Wartburg Receiver LLC | Clinic/Center | 5925 67th Ave, Ridgewood, NY 11385-4440 | 2008-09-23 |
| 1083860373 | Wartburg Receiver LLC | Clinic/Center | 50 Sheffield Ave, Brooklyn, NY 11207-2420 | 2008-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WARTBURG RECEIVER LLC | 4770 White Plains Road, Bronx, Ny 10470 |
| Street Address |
17261 BAISLEY BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717379 | Trinity - Adult Day Health Care Program | Nursing Care | 17261 Baisley Blvd, Jamaica, NY 11434-2614 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
| 1942703574 | Queens Social Adult Day Care Inc | Clinic/Center | 14841 Hillside Ave, Jamaica, NY 11435-3330 | 2018-03-09 |
| 1003318312 | Crystal Adult Social Day Care LLC | Clinic/Center | 138-31 Queens Blvd, Jamaica, NY 11435 | 2018-03-02 |
| 1083120604 | Zamzam Social Adult Day Care LLC | Clinic/Center | 15015 Hillside Ave, Jamaica, NY 11432-3319 | 2017-12-19 |
| 1982117016 | Adult Day Care Management LLC | Clinic/Center | 13011 Liberty Ave, Jamaica, NY 11419-3121 | 2017-11-11 |
| 1215448022 | Ny Mobile Rehab LLC | Clinic/Center | 13829 Queens Blvd, Jamaica, NY 11435-2641 | 2017-10-19 |
| 1245758838 | Elderville Group Inc | Clinic/Center | 14803 Hillside Ave Ste A, Jamaica, NY 11435-3330 | 2017-09-02 |
| 1265963318 | Woodhaven Lifestyle Senior Center Inc. | Clinic/Center | 8507 86th Ave, Jamaica, NY 11421-1207 | 2017-03-21 |
| 1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
| 1770954554 | Jurukan Inc | Clinic/Center | 14815 Archer Ave, Jamaica, NY 11435-4316 | 2015-10-19 |
| Find all providers in JAMAICA | ||||
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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.