BROADSTEP-WISCONSIN, INC. – NPI #1730372186
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

BROADSTEP-WISCONSIN, INC. is a community based residential treatment facility located in MILWAUKEE, WI. NPPES has assigned the NPI number 1730372186 to BROADSTEP-WISCONSIN, INC. on August 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BROADSTEP-WISCONSIN, INC. is also known by the name MARTIN GROUP HOME. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 5 years ago on May 19, 2021. 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
1730372186
Enumeration Date

(about 19 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.
Other Name: MARTIN GROUP HOME
Primary location
1141 N 46TH ST
MILWAUKEE, WI 53208-2702
Phone: (414) 344-1993 Fax: (414) 344-5509
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIANNE YOPPS
EXECUTIVE ASSISTANT
Phone: (414) 930-4421
Updated
Certification Date
Apr 28, 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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

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.