NPIMap

Organization Active NPI

Bright Path Group LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1124841150
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BRIGHT PATH GROUP LLC
Practice address
3418 W Sunland Ave
Phoenix, AZ 85041-3498
Phone
(602) 503-2183
NPI assigned
Nov 7, 2024
Organization subpart
Yes
Parent organization
BRIGHT PATH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Getachew Yirga
Title
Owner
Phone
(602) 503-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

3418 W Sunland Ave
Phoenix, AZ 85041-3498

Mailing address

8513 S 41St Dr
Laveen, AZ 85339-7823
Phone (602) 503-2183

Other names 1

  • Bright Path Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Path Group LLC11 organizations share this tax ID, including this one
Part of
Bright Path Group LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1124841150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8513 S 41ST DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397823",
            "telephone_number": "602-503-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413498",
            "telephone_number": "602-503-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT PATH GROUP LLC",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "YIRGA",
        "authorized_official_first_name": "GETACHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-503-2183"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Path Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.