Broadway Group Home LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kinnelon, New Jersey
1194431643- Practice location
- 89 Boonton Ave, Kinnelon, NJ 07405-2945
- Phone
- 973-546-0488
- Fax
- —
- Last updated
- January 27, 2023
Broadway Group Home LLC is a healthcare organization based in Kinnelon, NJ. Broadway Group Home LLC practices in Kinnelon, NJ. The NPI Number for Broadway Group Home LLC is 1194431643. The current practice location address for Broadway Group Home LLC is 89 Boonton Ave, Kinnelon, NJ 07405-2945 and can be reached out via phone at 973-546-0488.
Provider Profile Details
- NPI Number
- 1194431643
- Provider Name
- Broadway Group Home LLC
- Provider Entity Type
- Organization
- Address
- 89 Boonton Ave, Kinnelon, NJ 07405-2945
- Phone Number
- 973-546-0488
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Patrick Patton · Coo · 973-546-0488
- Provider Enumeration Date
- January 27, 2023
- Last Update Date
- January 27, 2023
- Certification Date
- January 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89 Boonton Ave
Kinnelon, NJ 07405-2945 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405-2945
- Phone Number
- 973-546-0488
Provider Business Mailing Address Details
- Address
- 17-17 Broadway
Fair Lawn, NJ 07410-2055 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-2055
- Phone Number
- 201-703-3980
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Broadway Group Home LLC?
The NPI number of Broadway Group Home LLC is 1194431643. It was assigned on January 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Broadway Group Home LLC?
Broadway Group Home LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Broadway Group Home LLC practice?
The practice location is 89 Boonton Ave, Kinnelon, NJ 07405-2945. The office can be reached at 973-546-0488 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194431643 directly on the NPPES registry website.