Healthcare Provider Details

I. General information

NPI: 1700735701
Provider Name (Legal Business Name): BROADWAY ELITE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 BURLINGTON DR STE 715
FLINT MI
48503-2935
US

IV. Provider business mailing address

9100 WESTHEIMER RD STE 715
HOUSTON TX
77063-3564
US

V. Phone/Fax

Practice location:
  • Phone: 810-771-3580
  • Fax: 346-354-6924
Mailing address:
  • Phone: 810-771-3580
  • Fax: 346-354-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NATALIE N BROADWAY
Title or Position: MANAGING MEMBER
Credential: BROADWAY
Phone: 615-364-5291