WILLOWGLEN ACADEMY
NPI 1376212746
Community Based Residential Treatment Facility, Mental Illness in Cortland, IL

Active since September 09, 2021
201 S WALNUT ST, CORTLAND, IL 60112(815) 758-8648 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowglen Academy NPPES

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

WILLOWGLEN ACADEMY (NPI 1376212746), doing business as Broadstep Academy-illinois Inc, is a healthcare organization registered as a community based residential treatment facility, mental illness in Cortland, Illinois and active in the NPI registry since September 2021. The organization lists Kedrian Coleman, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1376212746
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWILLOWGLEN ACADEMY
Location Address201 S WALNUT STCortland, IL 60112-4209
Mailing Address8521 Six Forks Rd Ste 300Raleigh, NC 27615-5294 · (919) 709-0197
Organization SubpartNo
Authorized OfficialKedrian ColemanDirector Revenue Cycle · (919) 709-0197
Enumeration DateSeptember 9, 2021
NPPES CertifiedAugust 24, 2021
NPI 1376212746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
201 S WALNUT ST, Cortland, IL 60112

Other Names 1

Doing Business AsBroadstep Academy-illinois Inc

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 Willowglen Academy's NPI number?

The NPI number for Willowglen Academy is 1376212746. It was assigned to this organization in the NPPES registry on September 9, 2021. The provider is doing business as Broadstep Academy-Illinois Inc.

Where is Willowglen Academy located?

Willowglen Academy is located at 201 S Walnut St, Cortland, IL 60112. The listed phone number is (815) 758-8648.

What is Willowglen Academy's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy was last updated on September 9, 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.