Broadstep Academy-Illinois Inc in Freeport - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Broadstep Academy-Illinois Inc - NPI 1255535498
Broadstep Academy-Illinois Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Freeport, Illinois. Broadstep Academy-Illinois Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Broadstep Academy-Illinois Inc is 1255535498. The last update date is 2021-08-25.
Broadstep Academy-Illinois Inc's current location address is 701 W Lamm Rd, Freeport, Illinois. You can contact this provider via phone number 8152336162 and fax number 8152336167. The mailing address for Broadstep Academy-Illinois Inc is 701 W Lamm Rd, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadstep Academy-Illinois Inc |
|---|---|
| Address | 701 W Lamm Rd, Freeport, Illinois |
| Phone Number | 8152336162 |
| Fax Number | 8152336167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Coleman Kedrian |
| Telephone Number | 9197090197 |
NPI Number Detail
| NPI Number | 1255535498 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2021-08-25 |
Provider Mailing Address Detail
| Address | 701 W Lamm Rd |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610329630 |
| Phone Number | 8152336162 |
| Fax Number | 8152336167 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 408719-03 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Broadstep Academy-Illinois Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Broadstep Academy-Illinois Inc has been assigned the NPI (National Provider Identifier) 1255535498. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Broadstep Academy-Illinois Inc is physically located?
The Broadstep Academy-Illinois Inc is physically situated at the following address: 701 W Lamm Rd, Freeport, IL, 610329630.
What is the Broadstep Academy-Illinois Inc's area of specialization and corresponding taxonomy classification?
The Broadstep Academy-Illinois Inc's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
When was the Broadstep Academy-Illinois Inc's 1255535498 issued?
The Broadstep Academy-Illinois Inc's 1255535498 was issued on 2007-06-12.
When was the information regarding Broadstep Academy-Illinois Inc most recently updated?
The details pertaining to the Broadstep Academy-Illinois Inc, including its address, specialty, and other relevant information, were last refreshed on 2021-08-25.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA