National Provider Identifier Database

BROADSTEP WISCONSIN INC
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

BROADSTEP-WISCONSIN, INC.
1421 STONERIDGE DR
WATERTOWN, WI53098-3419
Phone: 920-390-2900
Fax: 920-390-2951
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for BROADSTEP-WISCONSIN, INC.

NPI Number 1477121291
Legal business name
LBN
BROADSTEP-WISCONSIN, INC.
Authorized official JULIANNE YOPPS - (EXECUTIVE ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 06/17/2021
Last updated 06/17/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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