1. Home
  2. Directory
  3. Oklahoma
  4. Ardmore
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

BROADWAY HOUSE, INC.
NPI 1710106778
Substance Abuse Rehabilitation Facility in Ardmore, OK

Active since April 25, 2007
221 2ND AVE NW, ARDMORE, OK 73401(580) 226-3252(580) 226-3849 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway House, Inc. NPPES

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

BROADWAY HOUSE, INC. (NPI 1710106778) is a healthcare organization registered as a substance abuse rehabilitation facility in Ardmore, Oklahoma and active in the NPI registry since April 2007. The organization lists Wadonna D Wells, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710106778
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBROADWAY HOUSE, INC.
Location Address221 2ND AVE NWArdmore, OK 73401-6202
Mailing Address221 2nd Ave NwArdmore, OK 73401-6202 · (580) 226-3252 · Fax (580) 226-3849
Phone(580) 226-3252
Fax(580) 226-3849
Organization SubpartNo
Authorized OfficialWadonna D WellsExecutive Director · (580) 226-3252
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710106778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
221 2ND AVE NW, Ardmore, OK 73401
Open in Google Maps ↗

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.

MR. JIMMY A JACKSON TECH
Counselor (Mental Health)
221 2ND AVE NW
ARDMORE, OK 73401
Carter County (580) 340-9187
MS. WADONNA WELLS LADC
Counselor (Addiction (Substance Use Disorder))
221 2ND AVE NW
ARDMORE, OK 73401
Carter County (580) 226-3252

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 House, Inc.'s NPI number?

The NPI number for Broadway House, Inc. is 1710106778. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Broadway House, Inc. located?

Broadway House, Inc. is located at 221 2nd Ave NW, Ardmore, OK 73401. The listed phone number is (580) 226-3252.

What is Broadway House, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Broadway House, Inc. was last updated on August 22, 2020. 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.