NPIMap

Organization Active NPI

Broadway Respite and Home Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lodi, NJ
National Provider Identifier
1548831738
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BROADWAY RESPITE AND HOME CARE, LLC
Practice address
16 Gunther Ave
Lodi, NJ 07644-2015
Phone
(201) 703-3980
Fax
(201) 703-3984
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

16 Gunther Ave
Lodi, NJ 07644-2015

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1548831738",
    "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": "16 GUNTHER AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442015",
            "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": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-703-3980"
    },
    "taxonomies": [
        {
            "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": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.