Broadway Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROADWAY HEALTHCARE LLC

Doing business as

Broadway Rehabilitation and Care Center

Practice address

8223 Broadway
San Antonio, TX 78209-1919

Phone

(210) 828-0606

Fax

(210) 826-7766

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

William Miller

Title

Manager

Phone

(253) 268-2410

Specialties & licenses 1

Addresses

Other names 1

• Broadway Rehabilitation and Care Center Doing business as

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1053005819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091919",
            "telephone_number": "210-828-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091919",
            "telephone_number": "210-828-0606",
            "fax_number": "210-826-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Broadhead, CRNA
• Jennifer Chu Broadwater, PHARMD
• Myranda Broadwater
• Broadway Chiropractic Clinic, PC
• Broadway Convalescent Center, L.P.
• Broadway Pediatric Dentistry, PLLC
• Broadway Vascular PLLC
• Demonica Ann Broadway, LMSW
• Jeremy Brock, RRT, RCP
• Joi Raye Brock, LM, CPM, LMT

• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.