BROADWAY RESPITE AND HOME CARE (NPI# 1144739590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144739590 |
| Entity Type | Organization |
| Organization Name | BROADWAY RESPITE AND HOME CARE |
| Practice Address |
7 Allen Drive Wayne NJ 07470 |
| Mailing Address |
17-17 Broadway Fair Lawn NJ 07410 |
| Practice Telephone | 2017033980 |
| Practice Fax Number | 2017033984 |
| Mailing Telephone | 2017033980 |
| Mailing Fax Number | 2017033984 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| 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 | 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 |
| 1407365281 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 89 Boonton Avenue, Kinnelon, NJ 07405 | 2017-09-25 |
| 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 |
7 ALLEN DRIVE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| 1851833818 | Tiana M Rodriguez | Case Manager/Care Coordinator | 13 Colyer Terr, Wayne, NJ 07470 | 2016-11-08 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1376058867 | The Arc of Bergena and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Vernon Ct, Wayne, NJ 07470-6544 | 2017-12-06 |
| 1154830735 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1105 Chatham Ct, Wayne, NJ 07470-8600 | 2017-09-26 |
| 1043729049 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Oldham Rd, Wayne, NJ 07470-2209 | 2017-09-22 |
| 1235509720 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 79 Wendt Ln, Wayne, NJ 07470-6441 | 2015-09-28 |
| 1457721953 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Scribner Pl, Wayne, NJ 07470-2637 | 2015-09-28 |
| 1811367311 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 163 Fayette Ave, Wayne, NJ 07470-6780 | 2015-09-28 |
| 1326418815 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 709 Brittany Dr, Wayne, NJ 07470-3258 | 2015-09-28 |
| 1972973469 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Shearwater Ln, Wayne, NJ 07470-8434 | 2015-09-28 |
| 1518336817 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Grove Pl, Wayne, NJ 07470-4008 | 2015-09-17 |
| 1043692445 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Kime Ave, Wayne, NJ 07470-6586 | 2015-06-22 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on BROADWAY RESPITE AND HOME CARE.
| 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.