Broadstep Academy-Illinois Inc
NPI 1114223245 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Freeport, IL
Broadstep Academy-Illinois Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Freeport, IL (NPI 1114223245).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Broadstep Academy-Illinois Inc's NPI number?
- Broadstep Academy-Illinois Inc's National Provider Identifier (NPI) is 1114223245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadstep Academy-Illinois Inc?
- Broadstep Academy-Illinois Inc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Broadstep Academy-Illinois Inc located?
- Broadstep Academy-Illinois Inc's practice location on file with NPPES is 701 W Lamm Rd, Freeport, IL 61032-9630.
- What is Broadstep Academy-Illinois Inc's phone number?
- The practice phone number listed in the NPPES registry for Broadstep Academy-Illinois Inc is (815) 233-6162.
- Who is the authorized official for Broadstep Academy-Illinois Inc?
- The authorized official listed on Broadstep Academy-Illinois Inc's NPPES record is Kedrian Coleman, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadstep Academy-Illinois Inc's NPI active?
- Yes — Broadstep Academy-Illinois Inc's NPI (1114223245) is active in the NPPES registry as of the last update on 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.