Broad Place, Inc
Organization Active NPI Developmentally Disabled Services Day Training Agency · Windsor Mill, MD
NPI 1043043201 · NPPES record last updated Sep 1, 2025
Key facts
- NPI
- 1043043201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- BROAD PLACE, INC
- Practice address
- 3608 Milford Mill Rd
Windsor Mill, MD 21244-3328 - Phone
- (240) 360-3693
- Fax
- (443) 405-7237
- NPI assigned
- Aug 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Abimbola Runsewe, DNP
- Title
- Ceo
- Phone
- (240) 360-3693
National Provider Directory
Locations
902 Washington Rd
Ste G
Westminster, MD 21157
Phone (240) 360-3693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
3608 Milford Mill Rd
Windsor Mill, MD 21244-3328
Mailing address
3608 Milford Mill Rd
Windsor Mill, MD 21244-3328
Phone (240) 360-3693
Other practice location 1
902 Washington Rd Ste G
Westminster, MD 21157-5832
Phone (240) 360-3693
Other providers in Windsor Mill, MD
- Bon Ridge Wellness, LLC
- Kateri Saarah Bowie
- Janine Braham
- Isabelle Braten
- Briteview Healthcare Solutions, LLC
- Carson Keene Brooks
- Kristen L Broom
- Katrina Brown
- Martha Marie Brown
- Tammy Brown
All providers in Windsor Mill, MD · Developmentally Disabled Services Day Training Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.