Broadstep-Wisconsin, Inc. in Milwaukee - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Broadstep-Wisconsin, Inc. - NPI 1790978153
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 1790978153. The last update date is 2021-05-19.
Broadstep-Wisconsin, Inc.'s current location address is 5551 N. 51st Blvd., Milwaukee, Wisconsin. You can contact this provider via phone number 4145276970 and fax number 4145276971. The mailing address for Broadstep-Wisconsin, Inc. is 5551 N. 51st Blvd., Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadstep-Wisconsin, Inc. |
|---|---|
| Address | 5551 N. 51st Blvd., Milwaukee, Wisconsin |
| Phone Number | 4145276970 |
| Fax Number | 4145276971 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Yopps Julianne |
| Telephone Number | 4149304421 |
NPI Number Detail
| NPI Number | 1790978153 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 5551 N. 51st Blvd. |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53218 |
| Phone Number | 4145276970 |
| Fax Number | 4145276971 |
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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What is the unique 10-digit identifier code issued to Broadstep-Wisconsin, Inc. by the Centers for Medicare & Medicaid Services?
The Broadstep-Wisconsin, Inc. has been assigned the NPI (National Provider Identifier) 1790978153 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Broadstep-Wisconsin, Inc. is physically located?
The Broadstep-Wisconsin, Inc. is physically situated at the following address: 5551 N. 51St Blvd., Milwaukee, WI, 53218.
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.
When did Broadstep-Wisconsin, Inc. receive its 1790978153 assignment?
The Broadstep-Wisconsin, Inc. was assigned its 1790978153 on 2007-08-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Broadstep-Wisconsin, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Broadstep-Wisconsin, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-19.