BROADDUS EMPOWERMENT COMMUNITY SERVICES
NPI 1376255919
Community/Behavioral Health in Tampa, FL

Active since December 14, 2022
2101 E 142ND AVE APT 102, TAMPA, FL 33613(215) 876-2802 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Broaddus Empowerment Community Services NPPES

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

BROADDUS EMPOWERMENT COMMUNITY SERVICES (NPI 1376255919) is a healthcare organization registered as a community/behavioral health in Tampa, Florida and active in the NPI registry since December 2022. The organization lists Elliott Wardrick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376255919
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBROADDUS EMPOWERMENT COMMUNITY SERVICES
Location Address2101 E 142ND AVE APT 102Tampa, FL 33613-3629
Mailing Address2101 E 142nd Ave Apt 102Tampa, FL 33613-3629 · (215) 876-2802
Organization SubpartNo
Authorized OfficialElliott WardrickCeo · (804) 217-4806
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
NPI 1376255919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2101 E 142ND AVE APT 102, Tampa, FL 33613

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
2101 E 142ND AVE APT 102
TAMPA, FL 33613

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 Broaddus Empowerment Community Services's NPI number?

The NPI number for Broaddus Empowerment Community Services is 1376255919. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Broaddus Empowerment Community Services located?

Broaddus Empowerment Community Services is located at 2101 E 142nd Ave Apt 102, Tampa, FL 33613. The listed phone number is (215) 876-2802.

What is Broaddus Empowerment Community Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Broaddus Empowerment Community Services was last updated on December 14, 2022. 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.