Broadway Group Home LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Brunswick, New Jersey
1407552359- Practice location
- 621 Chrome St, North Brunswick, NJ 08902-3303
- Phone
- 973-546-0488
- Fax
- —
- Last updated
- February 2, 2023
Broadway Group Home LLC is a healthcare organization based in North Brunswick, NJ. Broadway Group Home LLC practices in North Brunswick, NJ. The NPI Number for Broadway Group Home LLC is 1407552359. The current practice location address for Broadway Group Home LLC is 621 Chrome St, North Brunswick, NJ 08902-3303 and can be reached out via phone at 973-546-0488.
Provider Profile Details
- NPI Number
- 1407552359
- Provider Name
- Broadway Group Home LLC
- Provider Entity Type
- Organization
- Address
- 621 Chrome St, North Brunswick, NJ 08902-3303
- 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
- February 2, 2023
- Last Update Date
- February 2, 2023
- Certification Date
- January 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 621 Chrome St
North Brunswick, NJ 08902-3303 - City
- North Brunswick
- State
- New Jersey
- Zip
- 08902-3303
- 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 1407552359. It was assigned on February 2, 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 621 Chrome St, North Brunswick, NJ 08902-3303. 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 1407552359 directly on the NPPES registry website.