BROADSTEP-WISCONSIN, INC. – NPI #1679141451
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

BROADSTEP-WISCONSIN, INC. is a residential treatment facility located in WATERTOWN, WI. NPPES has assigned the NPI number 1679141451 to BROADSTEP-WISCONSIN, INC. on June 16, 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 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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
1679141451
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
483 S CONCORD AVE
WATERTOWN, WI 53094-7307
Phone: (920) 390-4484 Fax: (920) 390-4485
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.

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.