Broadway Group Home LLC
Day Training, Developmentally Disabled Services in Fair Lawn, New Jersey
1477259323- Practice location
- 36-05 Broadway, Fair Lawn, NJ 07410-4644
- Phone
- 973-546-0488
- Fax
- —
- Last updated
- February 4, 2023
Broadway Group Home LLC is a healthcare organization based in Fair Lawn, NJ. Broadway Group Home LLC practices in Fair Lawn, NJ. The NPI Number for Broadway Group Home LLC is 1477259323. The current practice location address for Broadway Group Home LLC is 36-05 Broadway, Fair Lawn, NJ 07410-4644 and can be reached out via phone at 973-546-0488.
Provider Profile Details
- NPI Number
- 1477259323
- Provider Name
- Broadway Group Home LLC
- Provider Entity Type
- Organization
- Address
- 36-05 Broadway, Fair Lawn, NJ 07410-4644
- Phone Number
- 973-546-0488
- Primary Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X
- Organization Subpart
- No
- Authorized Official
- Patrick Patton · Coo · 973-546-0488
- Provider Enumeration Date
- February 2, 2023
- Last Update Date
- February 4, 2023
- Certification Date
- February 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36-05 Broadway
Fair Lawn, NJ 07410-4644 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-4644
- 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
- Day Training, Developmentally Disabled Services · 251C00000X · 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 1477259323. 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 Day Training, Developmentally Disabled Services (code 251C00000X).
Where does Broadway Group Home LLC practice?
The practice location is 36-05 Broadway, Fair Lawn, NJ 07410-4644. 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 1477259323 directly on the NPPES registry website.