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ANTONIO DEMARCUS BROADWAY SR.
NPI 1538672399
Case Manager/Care Coordinator in Baton Rouge, LA

Active since November 14, 2017
5810 MCCANN DR, BATON ROUGE, LA 70809(225) 221-7831 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 16, 2018, May 8, 2018, Nov 14, 2017 (3 updates tracked since 2017).

About Antonio Demarcus Broadway Sr. NPPES

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

ANTONIO DEMARCUS BROADWAY SR. (NPI 1538672399) is an individual case manager/care coordinator provider in Baton Rouge, Louisiana and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1538672399
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameANTONIO DEMARCUS BROADWAY SR.
Location Address5810 MCCANN DRBaton Rouge, LA 70809-4149
Mailing Address5810 Mccann DrBaton Rouge, LA 70809-4149 · (225) 221-7831
Phone(225) 221-7831
Sole ProprietorNo
Enumeration DateNovember 14, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1538672399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselorTaxonomy 101Y00000X
5810 MCCANN DR, Baton Rouge, LA 70809
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Other Identifiers 1

Medicaid0000LA

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 Antonio Broadway's NPI number?

The NPI number for Antonio Broadway is 1538672399. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Antonio Broadway located?

Antonio Broadway practices at 5810 Mccann Dr, Baton Rouge, LA 70809. The listed phone number is (225) 221-7831.

What is Antonio Broadway's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Antonio Broadway was last updated on June 16, 2018. 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.