Broadstep-Wisconsin, Inc. in Milwaukee - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Broadstep-Wisconsin, Inc. - NPI 1104019868
Broadstep-Wisconsin, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Milwaukee, Wisconsin. Broadstep-Wisconsin, 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-Wisconsin, Inc. is 1104019868. The last update date is 2021-04-28.
Broadstep-Wisconsin, Inc.'s current location address is 10133 - 35 West Kiehnau Avenue, Milwaukee, Wisconsin. You can contact this provider via phone number 4143535567 and fax number 4143534236. The mailing address for Broadstep-Wisconsin, Inc. is 10133 - 35 West Kiehnau Avenue, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadstep-Wisconsin, Inc. |
|---|---|
| Address | 10133 - 35 West Kiehnau Avenue, Milwaukee, Wisconsin |
| Phone Number | 4143535567 |
| Fax Number | 4143534236 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Yopps Julianne |
| Telephone Number | 4149304421 |
NPI Number Detail
| NPI Number | 1104019868 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 10133 - 35 West Kiehnau Avenue |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53224 |
| Phone Number | 4143535567 |
| Fax Number | 4143534236 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique identifier code issued to Broadstep-Wisconsin, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Broadstep-Wisconsin, Inc. has been assigned the NPI (National Provider Identifier) 1104019868. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Broadstep-Wisconsin, Inc. is geographically located?
The Broadstep-Wisconsin, Inc. is physically situated at the following location: 10133 - 35 West Kiehnau Avenue, Milwaukee, WI, 53224.
What is Broadstep-Wisconsin, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Broadstep-Wisconsin, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
When did Broadstep-Wisconsin, Inc. receive its 1104019868 assignment?
The Broadstep-Wisconsin, Inc. was assigned its 1104019868 on 2007-08-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Broadstep-Wisconsin, Inc. most recently updated?
The details pertaining to the Broadstep-Wisconsin, Inc., including its address, specialty, and other relevant information, were last refreshed on 2021-04-28.