BROADWAY RESPITE AND HOME CARE (NPI# 1407365281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407365281 |
| Entity Type | Organization |
| Organization Name | BROADWAY RESPITE AND HOME CARE |
| Practice Address |
89 Boonton Avenue Kinnelon NJ 07405 |
| Mailing Address |
17-17 Broadway Fair Lawn NJ 07410 |
| Practice Telephone | 9732916374 |
| Practice Fax Number | 2017033984 |
| Mailing Telephone | 2017033980 |
| Mailing Fax Number | 2017033984 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | ANASTASIA VAYNBERG (MANAGER) |
| Authorized Official Telephone | 2017033980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH2140 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0519049 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777061 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 Chrome St, North Brunswick, NJ 08902-3303 | 2019-12-11 |
| 1811556533 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1364 Sioux Rd, North Brunswick, NJ 08902 | 2019-06-06 |
| 1831691120 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Lower Matchaponix Ane, Monroe, NJ 08831 | 2018-03-02 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1083271084 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 737 Valley Rd, Wayne, NJ 07470 | 2019-05-24 |
| 1578037222 | Broadway Respite and Home Care | Community/Behavioral Health | 1007 Livingston Ave, North Brunswick, NJ 06902 | 2019-01-16 |
| 1285136572 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1480 Ratzer Rd, Wayne, NJ 07470 | 2018-03-02 |
| 1104328483 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1920 7th Street, North Brunswick, NJ 08902 | 2018-03-02 |
| Street Address |
89 BOONTON AVENUE |
| City | KINNELON |
| State | NJ |
| Zip Code | 07405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228066 | Tiffany Nicole Voll | Speech-Language Pathologist | 1589 Route 23 Apt. 14, Butler, NJ 07405 | 2019-07-24 |
| 1831668284 | Behavior Consultants of Nj LLC | Behavioral Analyst | 16 Aten Court, Bulter, NJ 07405 | 2018-11-15 |
| 1679091284 | Brianne Lee Traub | Pharmacist | 1483 State Route 23, Kinnelon, NJ 07405 | 2017-09-03 |
| 1750761789 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Barrister Drive, Butler, NJ 07405 | 2015-06-04 |
| 1922488964 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Barrister Drive, Butler, NJ 07405 | 2015-06-04 |
| 1831579879 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Barrister Drive, Butler, NJ 07405 | 2015-06-04 |
| 1447688973 | Willing Hands, Inc. | Day Training, Developmentally Disabled Services | 91 Kinnelon Road, Kinnelon, NJ 07405 | 2013-10-18 |
| 1629353412 | Jennifer L Romalin | Nurse Practitioner | 136 Barrister Drive, Butler, NJ 07405 | 2011-10-12 |
| 1255571311 | Harry Osband Rohrer | Dentist | 11 Kiel Avenue, Kinnelon, NJ 07405 | 2009-03-03 |
| 1831306869 | George R Mann Jr. | Dentist | 15 Kiel Avenue, Suite #202, Kinnelon, NJ 07405 | 2007-05-17 |
| Find all providers in zip 07405 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669852257 | Allies, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Breckenridge Ter, Kinnelon, NJ 07405-3261 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.