BROADSTEP-WISCONSIN INC. NPI 1477121291

NPI Information

  • NPI: 1477121291
  • Provider Name: BROADSTEP-WISCONSIN, INC.
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 1421 STONERIDGE DR
    WATERTOWN, WI
    ZIP 53098
  • Phone: (920) 390-2900

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NPI Details

BROADSTEP-WISCONSIN, INC. is an assisted living and behavioral disturbances assisted living facility in Watertown, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. BROADSTEP-WISCONSIN, INC. NPI is 1477121291. The provider is registered as an organization entity type.

The provider's business location address is:

1421 STONERIDGE DR
WATERTOWN, WI
ZIP 53098-419
Phone: (920) 390-2900
Fax: (920) 390-2951

The provider's authorized official is Julianne Yopps .
The authorized official title is Executive Assistant and has the following contact phone number (414) 930-4421.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 6/17/2021.

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
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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: 11/21/2025

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