BROADSTEP ACADEMY-ILLINOIS INC
NPI 1093919797
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Freeport, IL

Q: What is Broadstep Academy-Illinois Inc's NPI number?

The NPI number for Broadstep Academy-Illinois Inc is 1093919797. It was assigned to this organization in the NPPES registry on June 14, 2007.

Q: What is Broadstep Academy-Illinois 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.

Active since June 14, 2007

239 WINNEFRED ST., FREEPORT, IL 61032(815) 235-8071 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Broadstep Academy-illinois Inc NPPES

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

BROADSTEP ACADEMY-ILLINOIS INC (NPI 1093919797) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Freeport, Illinois and active in the NPI registry since June 2007. The organization lists Kedrian Coleman, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093919797

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBROADSTEP ACADEMY-ILLINOIS INC

Location Address239 WINNEFRED ST.Freeport, IL 61032

Mailing Address701 W Lamm RdFreeport, IL 61032-9630 · (815) 233-6162 · Fax (815) 233-6167

Phone(815) 235-8071

Organization SubpartNo

Authorized OfficialKedrian ColemanDirector Revenue Cycle · (919) 709-0197

Enumeration DateJune 14, 2007

Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1093919797 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

License✔ Licensed in IL · 03C004

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

239 WINNEFRED ST., Freeport, IL 61032

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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 Academy-Illinois Inc's NPI number?

The NPI number for Broadstep Academy-Illinois Inc is 1093919797. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Broadstep Academy-Illinois Inc located?

Broadstep Academy-Illinois Inc is located at 239 Winnefred St., Freeport, IL 61032. The listed phone number is (815) 235-8071.

What is Broadstep Academy-Illinois 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 Academy-Illinois Inc was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.