THE WARTBURG RESIDENTIAL COMMUNITY, INC. (NPI# 1518019827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518019827 |
| Entity Type | Organization |
| Organization Name | THE WARTBURG RESIDENTIAL COMMUNITY, INC. |
| Other Organization Name | WARTBURG CARE AT HOME |
| Practice Address |
1 Wartburg Pl Bldg 10, 2nd Floor Mount Vernon NY 10552-3821 |
| Practice Telephone | 9145135656 |
| Mailing Telephone | 9145135656 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MR. DAVID GENTNER (CEO/PRESIDENT) |
| Authorized Official Telephone | 9145135311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 9482L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01660457 | 05 |
| Other Name | Type Code |
|---|---|
| Wartburg Care at Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE WARTBURG RESIDENTIAL COMMUNITY, INC. | Bradlwy Avenue, Mt Vernon, Ny 10552 |
| Street Address |
1 WARTBURG PL BLDG 10, 2ND FLOOR |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053477448 | Geriatric Medical Service, Pllc | Internal Medicine | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2006-12-29 |
| 1972137982 | Xiyu Zhang | Music Therapist | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2020-02-28 |
| 1780215517 | Anabelle Arias | Counselor | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2020-01-30 |
| 1033751169 | Zahava G Roth | Dietitian, Registered | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2019-10-09 |
| 1689116709 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-11-07 |
| 1447702253 | The Wartburg Home of The Evangelical Lutheran Church | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-27 |
| 1215489232 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Clinic/Center | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2016-10-25 |
| 1114301173 | Sarah Meltzer | Occupational Therapist | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2015-07-18 |
| 1710150305 | Judith Ann Glaser | Physical Medicine & Rehabilitation | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2008-04-04 |
| 1154471258 | The Wartburg Home of The Evangelical Lutheran Church, Inc. | Skilled Nursing Facility | 1 Wartburg Pl, Mount Vernon, NY 10552-3821 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541119 | Dawson Service Solution LLC | In Home Supportive Care | Sheridan Avenue, Mount Vernon, NY 10552 | 2020-02-27 |
| 1821648908 | Yvonne Euretta Thorpe-roswell | Technician | 457 North Columbus Avenue, Mount Vernon, NY 10552 | 2019-09-19 |
| 1598256539 | Professional Orthopedic and Sports Physical Therapy PC | Clinic/Center | 599 Gramatan Ave Ste 205, Fleetwood, NY 10552 | 2018-05-25 |
| 1346770096 | Tina Earle | Registered Nurse | 544 North Terrace Ave, Mt. Vernon, NY 10552 | 2017-06-15 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1447702014 | Ilone Bajjo | Nurse Practitioner | 6 Lenox Ave, Mt. Vernon, NY 10552 | 2016-10-31 |
| 1023561578 | Angella D Brown | Registered Nurse | 180 Pearsole Drive, Apt D1e, Mt Vernon, NY 10552 | 2016-08-02 |
| 1053789479 | Julinnis Morales | Occupational Therapist | 72 Lexington Ave, Mount Vernon, NY 10552 | 2015-09-02 |
| 1053788760 | Kadisha Currie | Early Intervention Provider Agency | 161 Pearsall Drive 4d, Mount Vernon, NY 10552 | 2015-08-28 |
| 1679969968 | Nisha Murray | Behavioral Analyst | 21 W Devonia Ave, Mount Vernon, NY 10552 | 2015-04-13 |
| Find all providers in zip 10552 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754308 | Carrie A Hess | Home Health | 3292 Larimore Rd, Mount Vernon, OH 43050-9427 | 2020-09-15 |
| 1093334559 | Vitalyze LLC | Home Health | 40 Melrose Ave, Mount Vernon, NY 10552-3109 | 2020-04-14 |
| 1821658105 | Tanesha Dawson | Home Health | 55 Sheridan Ave Apt D22, Mount Vernon, NY 10552-2503 | 2019-06-18 |
| 1235673930 | Simpson Solutions, LLC | Home Health | 20 E First St Ste 208, Mount Vernon, NY 10550-3376 | 2016-12-14 |
| 1730554197 | Tamaya Daniela Findley | Home Health | 412 Hancock Ave, Mount Vernon, NY 10553-1720 | 2015-12-09 |
| 1073998019 | Sunrise Services, Inc. | Home Health | 1908 Riverside Dr, Mount Vernon, WA 98273-5411 | 2015-07-20 |
| 1912336330 | Dianas Angels Home Care Inc | Home Health | 136 Stevens Ave, Mount Vernon, NY 10550-2604 | 2013-11-06 |
| 1538505508 | Loving Arms Nursing Services | Home Health | 465 East Lincoln Ave, Mount Vernon, NY 10552 | 2013-05-17 |
| 1821398447 | Pf Development 15, LLC | Home Health | 743 Fairgrounds Rd., Mount Vernon, OH 43050-1165 | 2010-10-29 |
| 1033425905 | Complete Medical Personnel | Home Health | 159 S 11th Ave, Suite 2s, Mount Vernon, NY 10550-2928 | 2010-08-29 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10552 |
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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.