BROADWAY GROUP HOME LLC
NPI 1407552359
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Brunswick, NJ

Active since February 02, 2023
621 CHROME ST, NORTH BRUNSWICK, NJ 08902(973) 546-0488 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Group Home Llc NPPES

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

BROADWAY GROUP HOME LLC (NPI 1407552359) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in North Brunswick, New Jersey and active in the NPI registry since February 2023. The organization lists Patrick Patton, Coo, as its authorized official.

NPPES Registry Identity

NPI1407552359
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADWAY GROUP HOME LLC
Location Address621 CHROME STNorth Brunswick, NJ 08902-3303
Mailing Address17-17 BroadwayFair Lawn, NJ 07410-2055 · (201) 703-3980
Organization SubpartNo
Authorized OfficialPatrick PattonCoo · (973) 546-0488
Enumeration DateFebruary 2, 2023
NPPES CertifiedJanuary 27, 2023
NPI 1407552359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
621 CHROME ST, North Brunswick, NJ 08902

Other Providers at the Same Location NPPES 2

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
621 CHROME ST
NORTH BRUNSWICK, NJ 08902
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
621 CHROME ST
NORTH BRUNSWICK, NJ 08902

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 Group Home LLC's NPI number?

The NPI number for Broadway Group Home LLC is 1407552359. It was assigned to this organization in the NPPES registry on February 2, 2023.

Where is Broadway Group Home LLC located?

Broadway Group Home LLC is located at 621 Chrome St, North Brunswick, NJ 08902. The listed phone number is (973) 546-0488.

What is Broadway Group Home LLC'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 Group Home LLC was last updated on February 2, 2023. 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.