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

Broadway Group Home LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1861106478

Broadway Group Home LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Brunswick, 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

1215 Livingston Ave Ste 200
North Brunswick, NJ 08902-3834
Phone: (201) 703-3980
Fax: (201) 703-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1861106478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Lozano — Svp Financial Service · (770) 630-7290
NPI enumeratedJanuary 9, 2023
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address17-17 Broadway, Fair Lawn, NJ 07410-2055

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