DEODRA BROADNAX
NPI 1548879489
Day Training, Developmentally Disabled Services in Gardena, CA

Q: What is Deodra Broadnax's NPI number?

The NPI number for Deodra Broadnax is 1548879489. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Deodra Broadnax's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Deodra Broadnax was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 27, 2020

1451 MARINE AVE APT D, GARDENA, CA 90247(310) 991-0023 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Deodra Broadnax NPPES

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

DEODRA BROADNAX (NPI 1548879489) is an individual day training, developmentally disabled services provider in Gardena, California and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1548879489

Entity TypeIndividualFemale

Primary Taxonomy251C00000X

Provider Legal NameDEODRA BROADNAX

Location Address1451 MARINE AVE APT DGardena, CA 90247-3331

Mailing Address7857 Florence Ave # 112Downey, CA 90240-3700 · (310) 991-0023

Phone(310) 991-0023

Sole ProprietorYes

Enumeration DateJuly 27, 2020

NPPES CertifiedJuly 27, 2020

✔ NPI 1548879489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

1451 MARINE AVE APT D, Gardena, CA 90247

Open in Google Maps ↗

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 Deodra Broadnax's NPI number?

The NPI number for Deodra Broadnax is 1548879489. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Deodra Broadnax located?

Deodra Broadnax practices at 1451 Marine Ave Apt D, Gardena, CA 90247. The listed phone number is (310) 991-0023.

What is Deodra Broadnax's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Deodra Broadnax was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.