1. Home
  2. Directory
  3. Michigan
  4. Benton Harbor
  5. Home Health
  6. NPI Profile

GWENDOLYN BROYLES
NPI 1174406789
Home Health in Benton Harbor, MI

Active since July 30, 2025
167 NICKERSON AVE, BENTON HARBOR, MI 49022(269) 926-6784 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwendolyn Broyles NPPES

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

GWENDOLYN BROYLES (NPI 1174406789) is an individual home health provider in Benton Harbor, Michigan and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174406789
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameGWENDOLYN BROYLES
Location Address167 NICKERSON AVEBenton Harbor, MI 49022-6600
Mailing Address167 Nickerson AveBenton Harbor, MI 49022-6600 · (623) 340-3508
Phone(269) 926-6784
Sole ProprietorYes
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1174406789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
167 NICKERSON AVE, Benton Harbor, MI 49022
Open in Google Maps ↗

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 Gwendolyn Broyles's NPI number?

The NPI number for Gwendolyn Broyles is 1174406789. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Gwendolyn Broyles located?

Gwendolyn Broyles practices at 167 Nickerson Ave, Benton Harbor, MI 49022. The listed phone number is (269) 926-6784.

What is Gwendolyn Broyles's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Broyles was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.