BROADSTEP-WISCONSIN, INC. – NPI #1134327943
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

BROADSTEP-WISCONSIN, INC. is a residential treatment facility located in MILWAUKEE, WI. NPPES has assigned the NPI number 1134327943 to BROADSTEP-WISCONSIN, INC. on July 03, 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 MANITOBA GROUP HOME. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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.

NPI Number
1134327943
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: MANITOBA GROUP HOME
Primary location
3018 S 9TH ST
MILWAUKEE, WI 53215-3944
Phone: (414) 483-0156 Fax: (414) 747-4760
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 WI 1004077

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.