OrganizationBroadway Healthcare, LlcSkilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address1622 E Broadway St, Muskogee, OK 74403-4601(918) 683-2851(314) 631-3000PECOS EnrollmentBased on the most recent information from CMS, provider Broadway Healthcare, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053095968Provider TypeOrganizationFull NameBroadway Healthcare, LlcSubpartNoEnumeration Date6/12/2023Last Updated6/12/2023Contact InformationPractice LocationPractice Address1622 E Broadway St, Muskogee, OK 74403-4601Phone(918) 683-2851FaxUnlisted FaxMailing LocationMailing Address477 N Lindbergh Blvd Ste 310, Saint Louis, MO 63141-7856Phone(314) 631-3000FaxUnlisted FaxAuthorized OfficialNameFriedman, Naftali (Manager)Phone(314) 631-3000Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicenseUnlisted Issuer