Broadway Group Home Llc

LBN: Broadway Group Home Llc
Broadway Group Home Llc is an health care organization with primary practice located at 1215 Livingston Ave Ste 200 , North Brunswick NJ 08902-3834. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Broadway Group Home Llc can be contacted via phone (201) 703-3980, or through Lozano, Jennifer via phone (770) 630-7290.

Contact Information

Primary practice address
1215 Livingston Ave Ste 200 North Brunswick NJ 08902-3834
Phone: (201) 703-3980
Fax: (201) 703-3984
Website:
Map and Directions
Authorized official contact:
Name: Lozano, Jennifer
Phone: (770) 630-7290

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1861106478
LBN Legal business name Broadway Group Home Llc
DBA Doing business as
Authorized official Lozano, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2023
Last updated Mar 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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