OrganizationActive
Broadstep Academy-Illinois Inc
NPI 1114223245 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Freeport, IL
Provider details
- NPI number
- 1114223245
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Phoenix Care Systems, Inc.
- Organization subpart
- Yes
- Authorized official
- Kedrian Coleman, Director Revenue Cycle(919) 709-0197
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
701 W Lamm Rd
Freeport, IL 61032-9630
Phone: (815) 233-6162
Approximate (ZIP-level) locationGet directions
Mailing address
2025 Winchester Dr
Freeport, IL 61032-2932
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.