Provider Demographics
NPI:1568881803
Name:BROADWAY ACADEMY, INC.
Entity Type:Organization
Organization Name:BROADWAY ACADEMY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORFLEET-RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-921-5130
Mailing Address - Street 1:3398 EAST 55TH STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127
Mailing Address - Country:US
Mailing Address - Phone:216-271-7747
Mailing Address - Fax:
Practice Address - Street 1:3398 EAST 55TH STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127
Practice Address - Country:US
Practice Address - Phone:216-271-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)