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BROADSTEP-WISCONSIN, INC.
NPI 1245806264
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Watertown, WI

Active since June 01, 2021
481 S CONCORD AVE, WATERTOWN, WI 53094(920) 390-4435(920) 390-4436 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadstep-wisconsin, Inc. NPPES

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

BROADSTEP-WISCONSIN, INC. (NPI 1245806264) is a healthcare organization registered as a 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

NPI1245806264
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBROADSTEP-WISCONSIN, INC.
Location Address481 S CONCORD AVEWatertown, WI 53094-7307
Mailing Address1205 S 70th St Ste 202West Allis, WI 53214-3167 · (414) 930-4421
Phone(920) 390-4435
Fax(920) 390-4436
Organization SubpartNo
Authorized OfficialJulianne YoppsExecutive Assistant · (414) 930-4421
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1245806264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedAssisted Living FacilityTaxonomy 310400000X
481 S CONCORD AVE, Watertown, WI 53094
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Other Names 1

Other NameConcord I

Other Providers at the Same Location NPPES

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

VICTORY HOUSE, LLC
Clinic/Center (Multi-Specialty)
481 S CONCORD AVE
WATERTOWN, WI 53094
Jefferson County (414) 841-2972

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 1245806264. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is also known as Concord I.

Where is Broadstep-Wisconsin, Inc. located?

Broadstep-Wisconsin, Inc. is located at 481 S Concord Ave, Watertown, WI 53094. The listed phone number is (920) 390-4435.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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.