OrganizationActive
Broadstep-Wisconsin, Inc.
NPI 1003484882 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Watertown, WI
Provider details
- NPI number
- 1003484882
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julianne Yopps, Executive Assistant(414) 930-4421
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
306 E Haven Dr
Watertown, WI 53094-7321
Phone: (920) 390-4748
Fax: (920) 930-4749
Street-level locationGet directions
Mailing address
1205 S 70th St Ste 202
West Allis, WI 53214-3167
Other names (DBA / former)
- Other name
- East Haven II
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.