Broadstep-Wisconsin, Inc. in Milwaukee - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Broadstep-Wisconsin, Inc. - NPI 1407049455
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 1407049455. The last update date is 2021-04-28.
Broadstep-Wisconsin, Inc.'s current location address is 6105 W Keefe Avenue Pkwy, Milwaukee, Wisconsin. You can contact this provider via phone number 4144477566 and fax number 4144477528. The mailing address for Broadstep-Wisconsin, Inc. is 6105 W Keefe Avenue Pkwy, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadstep-Wisconsin, Inc. |
|---|---|
| Address | 6105 W Keefe Avenue Pkwy, Milwaukee, Wisconsin |
| Phone Number | 4144477566 |
| Fax Number | 4144477528 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Yopps Julianne |
| Telephone Number | 4149304421 |
NPI Number Detail
| NPI Number | 1407049455 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 6105 W Keefe Avenue Pkwy |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532162771 |
| Phone Number | 4144477566 |
| Fax Number | 4144477528 |
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) 1407049455. 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: 6105 W Keefe Avenue Pkwy, Milwaukee, WI, 532162771.
What is the Broadstep-Wisconsin, Inc.'s specialty and taxonomy code?
The Broadstep-Wisconsin, Inc.'s specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date was the 1407049455 assigned to Broadstep-Wisconsin, Inc.?
The Broadstep-Wisconsin, Inc. was issued its 1407049455 on 2007-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Broadstep-Wisconsin, Inc. last refreshed?
The information related to the Broadstep-Wisconsin, Inc., including its address, specialty, and other relevant details, was last updated on 2021-04-28.
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