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JUDY LYNN BROYLES
NPI 1164046637
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gladewater, TX

Active since June 01, 2020
1088 N WILLOW OAK RD, GLADEWATER, TX 75647(903) 714-3099 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, Jul 20, 2020, Jun 1, 2020 (3 updates tracked since 2020).

About Judy Lynn Broyles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY LYNN BROYLES (NPI 1164046637) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Gladewater, Texas and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1164046637
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameJUDY LYNN BROYLES
Location Address1088 N WILLOW OAK RDGladewater, TX 75647-7811
Mailing Address1088 N Willow Oak RdGladewater, TX 75647-7811 · (903) 714-3099
Phone(903) 714-3099
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1164046637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedHome HealthTaxonomy 251E00000X
1088 N WILLOW OAK RD, Gladewater, TX 75647
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Other Identifiers 1

Medicaid1316559321TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Broyles's NPI number?

The NPI number for Judy Broyles is 1164046637. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Judy Broyles located?

Judy Broyles practices at 1088 N Willow Oak Rd, Gladewater, TX 75647. The listed phone number is (903) 714-3099.

What is Judy Broyles's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Judy Broyles was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.