Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadstep Academy-Illinois Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1104593565

Broadstep Academy-Illinois Inc is a Mental Illness Community Based Residential Treatment Facility in Marengo, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

805 Thornapple Ln
Marengo, IL 60152-3414
Phone: (815) 568-5323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1104593565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kedrian Coleman — Director Revenue Cycle · (919) 709-0197
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address8521 Six Forks Rd Ste 300, Raleigh, NC 27615-5294

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