BROADWAY GROUP HOME LLC
NPI 1154037604
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lodi, NJ
About Broadway Group Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADWAY GROUP HOME LLC (NPI 1154037604) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lodi, New Jersey and active in the NPI registry since January 2023. The organization lists Patrick Patton, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LODI, NJ 07644
LODI, NJ 07644
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 Broadway Group Home LLC's NPI number?
The NPI number for Broadway Group Home LLC is 1154037604. It was assigned to this organization in the NPPES registry on January 27, 2023.
Where is Broadway Group Home LLC located?
Broadway Group Home LLC is located at 16 Gunther Ave, Lodi, NJ 07644. The listed phone number is (973) 546-0488.
What is Broadway Group Home LLC'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 Broadway Group Home LLC was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Broadway Group Home Llc · NPI 1154037604
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Lodi, New Jersey. Organization record, active in the CMS NPPES registry since January 27, 2023.
## Identity
- **NPI:** 1154037604 (Entity type: Organization)
- **Enumerated:** January 27, 2023
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Patrick Patton, COO
## Practice location
- **Address:** 16 GUNTHER AVE, Lodi, NJ 07644-2015
- **Phone:** (973) 546-0488
## Record status
- **NPPES last updated:** January 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1154037604) · Data from the CMS NPPES public registry.