BROADSTEP-WISCONSIN, INC.
NPI 1477121291
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Watertown, WI

Q: What is Broadstep-Wisconsin, Inc.'s NPI number?

The NPI number for Broadstep-Wisconsin, Inc. is 1477121291. It was assigned to this organization in the NPPES registry on June 17, 2021. The provider is also known as Stoneridge-Watertown.

Q: What is Broadstep-Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since June 17, 2021

1421 STONERIDGE DR, WATERTOWN, WI 53098(920) 390-2900(920) 390-2951 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Broadstep-wisconsin, Inc. NPPES

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

BROADSTEP-WISCONSIN, INC. (NPI 1477121291) is a healthcare organization registered as an assisted living, behavioral disturbances in Watertown, Wisconsin and active in the NPI registry since June 2021. The organization lists Julianne Yopps, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1477121291

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameBROADSTEP-WISCONSIN, INC.

Location Address1421 STONERIDGE DRWatertown, WI 53098-3419

Mailing Address1205 S 70th St Ste 202West Allis, WI 53214-3167 · (414) 930-4421

Phone(920) 390-2900

Fax(920) 390-2951

Organization SubpartNo

Authorized OfficialJulianne YoppsExecutive Assistant · (414) 930-4421

Enumeration DateJune 17, 2021

NPPES CertifiedJune 1, 2021

✔ NPI 1477121291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

1421 STONERIDGE DR, Watertown, WI 53098

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Other Names 1

Other NameStoneridge-watertown

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 Broadstep-Wisconsin, Inc.'s NPI number?

The NPI number for Broadstep-Wisconsin, Inc. is 1477121291. It was assigned to this organization in the NPPES registry on June 17, 2021. The provider is also known as Stoneridge-Watertown.

Where is Broadstep-Wisconsin, Inc. located?

Broadstep-Wisconsin, Inc. is located at 1421 Stoneridge Dr, Watertown, WI 53098. The listed phone number is (920) 390-2900.

What is Broadstep-Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Broadstep-Wisconsin, Inc. was last updated on June 17, 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.