Broadstep-Wisconsin, Inc. in Milwaukee - Residential Treatment Facility, Emotionally Disturbed Children
Broadstep-Wisconsin, Inc. - NPI 1093913709
Broadstep-Wisconsin, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Milwaukee, Wisconsin. Broadstep-Wisconsin, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Broadstep-Wisconsin, Inc. is 1093913709. The last update date is 2021-05-19.
Broadstep-Wisconsin, Inc.'s current location address is 3245 S 24th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4146716965. The mailing address for Broadstep-Wisconsin, Inc. is 3245 S 24th St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadstep-Wisconsin, Inc. |
|---|---|
| Address | 3245 S 24th St, Milwaukee, Wisconsin |
| Phone Number | 4146716965 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Yopps Julianne |
| Telephone Number | 4149304421 |
NPI Number Detail
| NPI Number | 1093913709 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 3245 S 24th St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532154414 |
| Phone Number | 4146716965 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 1006139 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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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) 1093913709 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 3245 S 24Th St, Milwaukee, WI, 532154414.
What is the area of specialization for Broadstep-Wisconsin, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Broadstep-Wisconsin, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did Broadstep-Wisconsin, Inc. receive its 1093913709 assignment from the Centers for Medicare & Medicaid Services?
The Broadstep-Wisconsin, Inc. was assigned its 1093913709 on 2007-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Broadstep-Wisconsin, Inc. most recently updated or revised?
The information pertaining to Broadstep-Wisconsin, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-05-19.