NPIMap

Organization Active NPI

Broadstep-Wisconsin, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1730372186
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BROADSTEP-WISCONSIN, INC.
Practice address
1141 N 46TH St
Milwaukee, WI 53208-2702
Phone
(414) 344-1993
Fax
(414) 344-5509
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 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
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1141 N 46TH St
Milwaukee, WI 53208-2702

Mailing address

1141 N 46TH St
Milwaukee, WI 53208-2702
Phone (414) 344-1993

Other names 1

  • Martin Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Bell Therapy - Sheridan Group Home58 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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1730372186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N 46TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082702",
            "telephone_number": "414-344-1993",
            "fax_number": "414-344-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N 46TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082702",
            "telephone_number": "414-344-1993",
            "fax_number": "414-344-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTEP-WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-05-19",
        "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": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Martin 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 May 19, 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.