BROADSTEP-WISCONSIN, INC. – NPI #1396088639
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
BROADSTEP-WISCONSIN, INC. is a community based residential treatment facility located in MILWAUKEE, WI. NPPES has assigned the NPI number 1396088639 to BROADSTEP-WISCONSIN, INC. on April 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BROADSTEP-WISCONSIN, INC. is also known by the name 68TH STREET. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 5 years ago on Apr 28, 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.
(more than 13 years ago)
MILWAUKEE, WI 53214-1608 Phone: (414) 443-6260 Fax: (414) 443-1524
EXECUTIVE ASSISTANT
Phone: (414) 930-4421
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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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (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.