BROADSTEP ACADEMY-ILLINOIS INC
NPI 1922775212
Community Based Residential Treatment Facility, Mental Illness in Chatham, IL

Active since August 25, 2021
620 GARVEY LN, CHATHAM, IL 62629(217) 697-8422 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadstep Academy-illinois Inc NPPES

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

BROADSTEP ACADEMY-ILLINOIS INC (NPI 1922775212) is a healthcare organization registered as a community based residential treatment facility, mental illness in Chatham, Illinois and active in the NPI registry since August 2021. The organization lists Kedrian Coleman, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1922775212
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBROADSTEP ACADEMY-ILLINOIS INC
Location Address620 GARVEY LNChatham, IL 62629-5086
Mailing Address8521 Six Forks Rd Ste 300Raleigh, NC 27615-5294 · (919) 709-0197
Organization SubpartNo
Authorized OfficialKedrian ColemanDirector Revenue Cycle · (919) 709-0197
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
NPI 1922775212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
620 GARVEY LN, Chatham, IL 62629

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 Academy-Illinois Inc's NPI number?

The NPI number for Broadstep Academy-Illinois Inc is 1922775212. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Broadstep Academy-Illinois Inc located?

Broadstep Academy-Illinois Inc is located at 620 Garvey Ln, Chatham, IL 62629. The listed phone number is (217) 697-8422.

What is Broadstep Academy-Illinois Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Broadstep Academy-Illinois Inc was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.