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

Broadway Group Home LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1477259323

Broadway Group Home LLC is a Developmentally Disabled Services Day Training Agency in Fair Lawn, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36-05 Broadway
Fair Lawn, NJ 07410-4644
Phone: (973) 546-0488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1477259323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Patton — Coo · (973) 546-0488
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 4, 2023
Certification dateFebruary 4, 2023
Mailing address17-17 Broadway, Fair Lawn, NJ 07410-2055

Other providers in Fair Lawn