BROADWAY RESPITE AND HOME CARE
NPI 1407365281
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kinnelon, NJ

Q: What is Broadway Respite And Home Care's NPI number?

The NPI number for Broadway Respite And Home Care is 1407365281. It was assigned to this organization in the NPPES registry on September 25, 2017.

Q: What is Broadway Respite And Home Care's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 25, 2017

89 BOONTON AVENUE, KINNELON, NJ 07405(973) 291-6374(201) 703-3984 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Broadway Respite And Home Care NPPES

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

BROADWAY RESPITE AND HOME CARE (NPI 1407365281) 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 September 2017. The organization lists Anastasia Vaynberg, Manager, as its authorized official.

NPPES Registry Identity

NPI1407365281

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBROADWAY RESPITE AND HOME CARE

Location Address89 BOONTON AVENUEKinnelon, NJ 07405

Mailing Address17-17 BroadwayFair Lawn, NJ 07410 · (201) 703-3980 · Fax (201) 703-3984

Phone(973) 291-6374

Fax(201) 703-3984

Organization SubpartNo

Authorized OfficialAnastasia VaynbergManager · (201) 703-3980

Enumeration DateSeptember 25, 2017

✔ NPI 1407365281 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

License✔ Licensed in NJ · GH2140

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

89 BOONTON AVENUE, Kinnelon, NJ 07405

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Other Identifiers 1

Medicaid0519049NJ

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 Respite And Home Care's NPI number?

The NPI number for Broadway Respite And Home Care is 1407365281. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Broadway Respite And Home Care located?

Broadway Respite And Home Care is located at 89 Boonton Avenue, Kinnelon, NJ 07405. The listed phone number is (973) 291-6374.

What is Broadway Respite And Home Care'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 Respite And Home Care was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.