1. Home
  2. Directory
  3. Wisconsin
  4. Watertown
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

BROADSTEP-WISCONSIN, INC.
NPI 1003482027
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Watertown, WI

Active since June 01, 2021
503 CLOVERCREST CT, WATERTOWN, WI 53094(920) 390-4431(920) 390-4432 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadstep-wisconsin, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADSTEP-WISCONSIN, INC. (NPI 1003482027) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Watertown, Wisconsin and active in the NPI registry since June 2021. The organization lists Julianne Yopps, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1003482027
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADSTEP-WISCONSIN, INC.
Location Address503 CLOVERCREST CTWatertown, WI 53094-9701
Mailing Address1205 S 70th St Ste 202Milwaukee, WI 53214-3167 · (414) 930-4421
Phone(920) 390-4431
Fax(920) 390-4432
Organization SubpartNo
Authorized OfficialJulianne YoppsExecutive Assistant · (414) 930-4421
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1003482027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
503 CLOVERCREST CT, Watertown, WI 53094
Open in Google Maps ↗

Other Names 1

Other NameClovercrest

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadstep-Wisconsin, Inc.'s NPI number?

The NPI number for Broadstep-Wisconsin, Inc. is 1003482027. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is also known as Clovercrest.

Where is Broadstep-Wisconsin, Inc. located?

Broadstep-Wisconsin, Inc. is located at 503 Clovercrest Ct, Watertown, WI 53094. The listed phone number is (920) 390-4431.

What is Broadstep-Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Broadstep-Wisconsin, Inc. was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.