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BROADWAY RESPITE AND HOME CARE
NPI 1407446586
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wayne, NJ

Active since January 22, 2021
4 BERRY DR, WAYNE, NJ 07470(201) 703-3980(201) 703-3984 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1407446586) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wayne, New Jersey and active in the NPI registry since January 2021. The organization lists Anastasia Vaynberg, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1407446586
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADWAY RESPITE AND HOME CARE
Location Address4 BERRY DRWayne, NJ 07470
Mailing Address17-17 BraodwayFair Lawn, NJ 07410 · (201) 703-3980 · Fax (201) 703-3984
Phone(201) 703-3980
Fax(201) 703-3984
Organization SubpartNo
Authorized OfficialAnastasia VaynbergBilling Manager · (201) 703-3980
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1407446586 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.
4 BERRY DR, Wayne, NJ 07470
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Other Identifiers 1

Medicaid0519049NJ

Other Providers at the Same Location NPPES 3

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
4 BERRY DR
WAYNE, NJ 07470
Passaic County (973) 832-4657
BROADWAY GROUP HOME LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4 BERRY DR
WAYNE, NJ 07470
Passaic County (973) 546-0488
BROADWAY RESPITE AND HOME CARE, LLC
Home Health
4 BERRY DR
WAYNE, NJ 07470
Passaic County (201) 703-3980

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 1407446586. It was assigned to this organization in the NPPES registry on January 22, 2021.

Where is Broadway Respite And Home Care located?

Broadway Respite And Home Care is located at 4 Berry Dr, Wayne, NJ 07470. The listed phone number is (201) 703-3980.

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 January 22, 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.