WARTBURG HOME
NPI 1154471258
Skilled Nursing Facility in Mount Vernon, NY

NPI Status: Active since January 11, 2007

Contact Information

1 WARTBURG PL
MOUNT VERNON, NY
ZIP 10552
Phone: (914) 699-0800
Fax: (914) 699-2512

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 33D0665876
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-26-2027

About WARTBURG HOME

This page provides the complete NPI Profile along with additional information for Wartburg Home, a provider established in Mount Vernon, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1154471258 assigned on January 2007. The practitioner's primary taxonomy code is 314000000X with license number 5903309N (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Wartburg Home. The authorized official of this NPI record is Mr. David Gentner (Ceo/president)

NPI
1154471258
Provider Legal Name
WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Other Organization Name
WARTBURG HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1 WARTBURG PL MOUNT VERNON, NY 10552
Location Phone
(914) 699-0800
Location Fax
(914) 699-2512
Mailing Address
1 WARTBURG PL MOUNT VERNON, NY 10552
Mailing Phone
(914) 699-0800
Mailing Fax
(914) 699-2512
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2007
Last Update Date
06-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
5903309N
License State
NY
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID GENTNER

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(914) 513-5311

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00309059MEDICAID (05)NY 
007609OTHER (01)NYBCBC
A769950OTHER (01)NYOXFORD
7100136OTHER (01)NYUNITED HEALTH CARE
0660692OTHER (01)NYAETNA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0665876
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
November 08, 2005
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. FRANK POLCARI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wartburg Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WARTBURG HOME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154471258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104872210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 7 + 2 + 2 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1154471258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114301173 SARAH MELTZER OTR/L
Individual
Occupational Therapist1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 699-0800
1518019827THE WARTBURG RESIDENTIAL COMMUNITY, INC.
Organization
Home Health1 WARTBURG PL BLDG 10, 2ND FLOOR
MOUNT VERNON, NY 10552
(914) 513-5656
1215489232THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.
Organization
Clinic/Center (Adult Day Care)1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 699-0800
1447702253THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Organization
Clinic/Center (Adult Day Care)1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 699-0800
1689116709THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.
Organization
Clinic/Center (Rehabilitation)1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 699-0800
1972137982 XIYU ZHANG LCAT, MT-BC
Individual
Music Therapist1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 513-5292
1053477448GERIATRIC MEDICAL SERVICE, PLLC
Organization
Internal Medicine (Geriatric Medicine)1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 699-0800
1912144163DR. CONCETTA MARIA TOMAINO DA, MT-BC, LCAT
Individual
Music Therapist1 WARTBURG PL
MOUNT VERNON, NY 10552
(914) 513-5292

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154471258, enumerated in the NPI registry as an "organization" on January 11, 2007

The provider is located at 1 Wartburg Pl Mount Vernon, Ny 10552 and the phone number is (914) 699-0800

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D0665876 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.