# BROADWAY RESPITE AND HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway Respite and Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427500446
- **Authorized official:** MRS. ZHANNA BASINA RN (PRESIDENT)
- **Authorized official phone:** (201) 703-3980

## Contact information

- **Practice address:** 24-20 BROADWAY, FAIR LAWN, NJ 07410-2055
- **Practice address phone:** (201) 703-3980
- **Practice address fax:** (201) 703-3984
- **Mailing address:** 24-20 BROADWAY, FAIR LAWN, NJ 07410-2055
- **Mailing address phone:** (201) 703-3980
- **Mailing address fax:** (201) 703-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | HP0100300 | NJ | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016