Active NPI
Broadstep-Wisconsin, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Milwaukee, WI
National Provider Identifier
1326613613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- BROADSTEP-WISCONSIN, INC.
- Practice address
- 7060 N 124TH St
Milwaukee, WI 53224-4206 - Phone
- (414) 358-1750
- NPI assigned
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
7060 N 124TH St
Milwaukee, WI 53224-4206
Mailing address
5555 N 51St St
Milwaukee, WI 53218-3308
Phone (414) 528-6970
Other names 1
- Good Hope Manor II
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2011655 | Good Hope II | Certificate of waiver | Aug 18, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Bell Therapy - Sheridan Group Home
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.
-
- Case Management Agency
- Milwaukee, WI
- NPI 1447395652
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Milwaukee, WI
- NPI 1548453996
-
- Case Management Agency
- Milwaukee, WI
- NPI 1205032737
-
- Case Management Agency
- Kenosha, WI
- NPI 1497951925
-
- Developmentally Disabled Services Day Training Agency
- Milwaukee, WI
- NPI 1205987187
-
- Case Manager/Care Coordinator
- Kenosha, WI
- NPI 1376747006
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Elkhart Lake, WI
- NPI 1619232030
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Milwaukee, WI
- NPI 1104019868
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Watertown, WI
- NPI 1104494921
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Milwaukee, WI
- NPI 1134327943
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Milwaukee, WI
- NPI 1154574739
-
- Mental Illness Community Based Residential Treatment Facility
- Milwaukee, WI
- NPI 1174716518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1326613613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 N 51ST ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532183308",
"telephone_number": "414-528-6970",
"fax_number": "414-527-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7060 N 124TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532244206",
"telephone_number": "414-358-1750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADSTEP-WISCONSIN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-04-29",
"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": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Good Hope Manor II",
"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 May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.