Broadstep Academy-Illinois Inc

LBN: Broadstep Academy-Illinois Inc
Broadstep Academy-Illinois Inc is an health care organization with primary practice located at 805 Thornapple Ln , Marengo IL 60152-3414. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Broadstep Academy-Illinois Inc can be contacted via phone (815) 568-5323, or through Coleman, Kedrian via phone (919) 709-0197.

Contact Information

Primary practice address
805 Thornapple Ln Marengo IL 60152-3414
Phone: (815) 568-5323
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Kedrian
Phone: (919) 709-0197

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1104593565
LBN Legal business name Broadstep Academy-Illinois Inc
DBA Doing business as
Authorized official Coleman, Kedrian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2021
Last updated Aug 25th, 2021 - about 3 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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