BROADSTEP-WISCONSIN INC. NPI 1790978153

NPI Information

NPI: 1790978153
Provider Name: BROADSTEP-WISCONSIN, INC.

Other Name: THURSTON GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5734 N 94TH ST
MILWAUKEE, WI
ZIP 53225
Phone: (414) 462-7117
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BROADSTEP-WISCONSIN, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Milwaukee, WI. 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-WISCONSIN, INC. NPI is 1790978153. The provider is registered as an organization entity type.
The provider Other Name Is Thurston Group Home.

The provider's business location address is:

5734 N 94TH ST
MILWAUKEE, WI
ZIP 53225-604
Phone: (414) 462-7117
Fax: (414) 462-9727

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 8/20/2007 and was last updated on 5/19/2021.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 4/28/2024

NPI Synchronization or Removal

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