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BROADSTEP ACADEMY-NEW JERSEY INC. NPI 1467690511


NPI Information

NPI: 1467690511
Provider Name: BROADSTEP ACADEMY-NEW JERSEY, INC.

Other Name: DEMAREST GROUP HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
164 DEMAREST ROAD
SPARTA, NJ
ZIP 07871
Phone: (973) 579-3700
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BROADSTEP ACADEMY-NEW JERSEY, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Sparta, NJ. The provider is 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 ACADEMY-NEW JERSEY, INC. NPI is 1467690511. The provider is registered as an organization entity type.
The provider Other Name Is Demarest Group Home.

The provider's business location address is:

164 DEMAREST ROAD
SPARTA, NJ
ZIP 07871-400
Phone: (973) 579-3700
Fax: (973) 579-1786

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

The enumeration date for this NPI number is 1/28/2009 and was last updated on 8/18/2020.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2320600000XResidential 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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