BROADWAY GROUP HOME LLC
NPI 1871299727
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wayne, NJ

Active since February 02, 2023

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 1871299727) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wayne, New Jersey and active in the NPI registry since February 2023. The organization lists Patrick Patton, Coo, as its authorized official.

NPPES Registry Identity

NPI1871299727
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROADWAY GROUP HOME LLC
Location Address4 BERRY DRWayne, NJ 07470-3813
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 1871299727 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.
4 BERRY DR, Wayne, NJ 07470

Other Providers at the Same Location NPPES 3

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
4 BERRY DR
WAYNE, NJ 07470
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4 BERRY DR
WAYNE, NJ 07470
Home Health
4 BERRY DR
WAYNE, NJ 07470

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 1871299727. 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 4 Berry Dr, Wayne, NJ 07470. 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.