Organization
WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Active
Other names
Wartburg Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GENTNER (CEO/PRESIDENT)
(914) 513-5311
Entity
Organization
Contact information
Practice address
1 WARTBURG PL, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Mailing address
1 WARTBURG PL, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5903309N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309059
—
NY
01
—
007609
BCBC
NY
01
—
0660692
AETNA
NY
01
—
7100136
UNITED HEALTH CARE
NY
01
—
A769950
OXFORD
NY
Enumeration date
01/11/2007
Last updated
06/24/2022
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