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BROADWAY GROUP HOME LLC
NPI 1194431643
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kinnelon, NJ

Active since January 27, 2023
89 BOONTON AVE, KINNELON, NJ 07405(973) 546-0488 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Group Home Llc NPPES

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

BROADWAY GROUP HOME LLC (NPI 1194431643) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kinnelon, New Jersey and active in the NPI registry since January 2023. The organization lists Patrick Patton, Coo, as its authorized official.

NPPES Registry Identity

NPI1194431643
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADWAY GROUP HOME LLC
Location Address89 BOONTON AVEKinnelon, NJ 07405-2945
Mailing Address17-17 BroadwayFair Lawn, NJ 07410-2055 · (201) 703-3980
Phone(973) 546-0488
Organization SubpartNo
Authorized OfficialPatrick PattonCoo · (973) 546-0488
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1194431643 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.
89 BOONTON AVE, Kinnelon, NJ 07405
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Other Providers at the Same Location NPPES

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

RHA HEALTH SERVICES NJ LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
89 BOONTON AVE
KINNELON, NJ 07405
Morris County (973) 750-1228

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 1194431643. 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 89 Boonton Ave, Kinnelon, NJ 07405. 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.