Broadway Group Home LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Brunswick, NJ. Organization (NPI-2).
NPI number1275249724
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1275249724
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Group Home LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2023
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1920 7th StNorth Brunswick, NJ 08902-4535
Phone 973-546-0488
Mailing address
17-17 BroadwayFair Lawn, NJ 07410-2055
Phone 201-703-3980
Authorized official
Patrick Patton
Coo
9735460488
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Brunswick, NJ
- Abantu Group LLCNPI 1295388114
- Advance Divine Healthcare INCNPI 1336619162
- Allies, INC.NPI 1477933018
- Bancroft, A New Jersey Nonprofit CorporationNPI 1174059539
- Broadway Group Home LLCNPI 1407552359
- Broadway Group Home LLCNPI 1790481646
- Broadway Group Home LLCNPI 1861106478
- Broadway Respite And Home CareNPI 1104328483
- Broadway Respite And Home CareNPI 1811556533
- Broadway Respite And Home CareNPI 1235777061
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.