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BROADSTEP ACADEMY-ILLINOIS INC
NPI 1114223245
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Freeport, IL

Active since February 08, 2011
701 W LAMM RD, FREEPORT, IL 61032(815) 233-6162 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadstep Academy-illinois Inc NPPES

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

BROADSTEP ACADEMY-ILLINOIS INC (NPI 1114223245) 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 February 2011. The organization lists Kedrian Coleman, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1114223245
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADSTEP ACADEMY-ILLINOIS INC
Location Address701 W LAMM RDFreeport, IL 61032-9630
Mailing Address2025 Winchester DrFreeport, IL 61032-2932 · (815) 233-6162
Phone(815) 233-6162
Organization SubpartYesParent: Phoenix Care Systems, Inc.
Authorized OfficialKedrian ColemanDirector Revenue Cycle · (919) 709-0197
Enumeration DateFebruary 8, 2011
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1114223245 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.
701 W LAMM RD, Freeport, IL 61032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MONICA YOUNG
Counselor (Mental Health)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
STEPHEN AHO R.N.
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
MS. IVORY D COOLEY RN
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
MRS. CORA JEAN THREADGILL RN
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
SUSAN BURROW QIDP
Counselor (Mental Health)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
ROLAND EMEKA AGUOCHA QIDP
Social Worker (Clinical)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
CARRIE SNOW M.S. ED, QIDP
Counselor (School)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
WILLOWGLEN ACADEMY-ILLINOIS INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162

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 1114223245. It was assigned to this organization in the NPPES registry on February 8, 2011.

Where is Broadstep Academy-Illinois Inc located?

Broadstep Academy-Illinois Inc is located at 701 W Lamm Rd, Freeport, IL 61032. The listed phone number is (815) 233-6162.

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.