BROADSTEP-WISCONSIN, INC. – NPI #1477121291
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Health Care Provider Taxonomy Code for Assisted Living Facility

BROADSTEP-WISCONSIN, INC. is an assisted living facility located in WATERTOWN, WI. NPPES has assigned the NPI number 1477121291 to BROADSTEP-WISCONSIN, INC. on June 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3104A0630X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADSTEP-WISCONSIN, INC. below.

NPI Profile for
BROADSTEP-WISCONSIN, INC.

NPI Number
1477121291
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADSTEP-WISCONSIN, INC.
Primary location
1421 STONERIDGE DR
WATERTOWN, WI 53098-3419
Phone: (920) 390-2900 Fax: (920) 390-2951
Mailing address
1205 S 70TH ST STE 202
WEST ALLIS, WI 53214-3167
Phone: (414) 930-4421 Fax:
Organization Subpart
No
Authorized Official
JULIANNE YOPPS
EXECUTIVE ASSISTANT
Phone: (414) 930-4421
Updated
Certification Date
Jun 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances (Primary)
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.