NPIMap

Organization Active NPI

Broadway Respite and Home Care, LLC

  • Home Health Agency
  • Teaneck, NJ
National Provider Identifier
1083290852
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BROADWAY RESPITE AND HOME CARE, LLC
Practice address
1231 Longfellow Ave
Teaneck, NJ 07666-4911
Phone
(201) 703-3980
Fax
(201) 703-3984
NPI assigned
Mar 22, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Patrick Patton
Title
Cfo
Phone
(201) 703-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1231 Longfellow Ave
Teaneck, NJ 07666-4911

Mailing address

17-17 Broadway
Fair Lawn, NJ 07410-2055
Phone (201) 703-3980

National Provider Directory

National Provider Directory
Tax ID family
Broadway Respite and Home Care17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1083290852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-17 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102055",
            "telephone_number": "201-703-3980",
            "fax_number": "201-703-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 LONGFELLOW AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664911",
            "telephone_number": "201-703-3980",
            "fax_number": "201-703-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY RESPITE AND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-703-3980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.