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BROADSTEP ACADEMY-NEW JERSEY INC. NPI 1821473471


NPI Information

NPI: 1821473471
Provider Name: BROADSTEP ACADEMY-NEW JERSEY, INC.

Other Name: WGA VALLEY VIEW

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 31D2237776

Address:
84 VALLEY VIEW ROAD
LAFAYETTE, NJ
ZIP 07848
Phone: (973) 579-3700
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BROADSTEP ACADEMY-NEW JERSEY, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Lafayette, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BROADSTEP ACADEMY-NEW JERSEY, INC. NPI is 1821473471. The provider is registered as an organization entity type.
The provider Other Name Is Wga Valley View.

The provider's business location address is:

84 VALLEY VIEW ROAD
LAFAYETTE, NJ
ZIP 07848
Phone: (973) 579-3700
Fax: (973) 579-1786

The provider's authorized official is Patricia Bates .
The authorized official title is Controller and has the following contact phone number (973) 579-3700.

The CLIA number assigned to this NPI record is 31D2237776 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 6/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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