NPIMap

Organization Active NPI

Broadstep-Wisconsin, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1134327943
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1004077 Issued in WI
Legal business name
BROADSTEP-WISCONSIN, INC.
Practice address
3018 S 9TH St
Milwaukee, WI 53215-3944
Phone
(414) 483-0156
Fax
(414) 747-4760
NPI assigned
Jul 3, 2007
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Julianne Yopps
Title
Executive Assistant
Phone
(414) 930-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1004077 WI Primary

Addresses

Primary practice location

3018 S 9TH St
Milwaukee, WI 53215-3944

Mailing address

3018 S 9TH St
Milwaukee, WI 53215-3944
Phone (414) 483-0156

Other names 1

  • Manitoba Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Bell Therapy Inc CSP South58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1134327943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 S 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153944",
            "telephone_number": "414-483-0156",
            "fax_number": "414-747-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 S 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153944",
            "telephone_number": "414-483-0156",
            "fax_number": "414-747-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTEP-WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "YOPPS",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "414-930-4421"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "1004077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manitoba Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Manitoba Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.