Broadway Treatment Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BROADWAY TREATMENT CENTER, LLC

Practice address

18582 Beach Blvd Ste 214
Huntington Beach, CA 92648-2043

Phone

(714) 655-0948

NPI assigned

Apr 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shaun Lennert

Title

Director of Operations

Phone

(714) 655-0948

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1023376142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD STE 214",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482043",
            "telephone_number": "714-655-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD STE 214",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482043",
            "telephone_number": "714-655-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LENNERT",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-655-0948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Brimley
• Deborah Briones, R.N., N.P.
• Elizabeth Brito, DDS
• Alyce Edythe Britton, PT
• Broadway Detox Center LLC
• John Dennis Broderick, M.D.
• Kathryn Broedner, LMFT
• Robert Donald Bronner
• Lea Bronnimann
• Bronson W Hamada O D a Professional Corp

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.