Broadway Respite And Home Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kinnelon, New Jersey
1407365281- Practice location
- 89 Boonton Avenue, Kinnelon, NJ 07405
- Phone
- 973-291-6374
- Fax
- 201-703-3984
- Last updated
- September 25, 2017
Broadway Respite And Home Care is a healthcare organization based in Kinnelon, NJ. Broadway Respite And Home Care practices in Kinnelon, NJ. The NPI Number for Broadway Respite And Home Care is 1407365281 and holds a License No. GH2140 (NJ). The current practice location address for Broadway Respite And Home Care is 89 Boonton Avenue, Kinnelon, NJ 07405 and can be reached out via phone at 973-291-6374 and via fax at 201-703-3984.
Provider Profile Details
- NPI Number
- 1407365281
- Provider Name
- Broadway Respite And Home Care
- Provider Entity Type
- Organization
- Address
- 89 Boonton Avenue, Kinnelon, NJ 07405
- Phone Number
- 973-291-6374
- Fax Number
- 201-703-3984
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Anastasia Vaynberg · Manager · 201-703-3980
- Provider Enumeration Date
- September 25, 2017
- Last Update Date
- September 25, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89 Boonton Avenue
Kinnelon, NJ 07405 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405
- Phone Number
- 973-291-6374
- Fax Number
- 201-703-3984
Provider Business Mailing Address Details
- Address
- 17-17 Broadway
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410
- Phone Number
- 201-703-3980
- Fax Number
- 201-703-3984
License Information
- License Number
- GH2140
- License State
- NJ
- 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 Respite And Home Care?
The NPI number of Broadway Respite And Home Care is 1407365281. It was assigned on September 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Broadway Respite And Home Care?
Broadway Respite And Home Care is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH2140.
Where does Broadway Respite And Home Care practice?
The practice location is 89 Boonton Avenue, Kinnelon, NJ 07405. The office can be reached at 973-291-6374 (phone) or 201-703-3984 (fax).
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 1407365281 directly on the NPPES registry website.