NPIMap

Organization Active NPI

Bright Path Group LLC

Doing business as Bright Path home

  • Nursing Facility/Intermediate Care Facility
  • Laveen, AZ
National Provider Identifier
1669217287
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
BRIGHT PATH GROUP LLC
Doing business as
Bright Path home
Practice address
4315 W Hopi TRL
Laveen, AZ 85339-2064
Phone
(602) 503-2183
NPI assigned
Jun 26, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

4315 W Hopi TRL
Laveen, AZ 85339-2064

Mailing address

4315 W Hopi TRL
Laveen, AZ 85339-2064
Phone (602) 503-2183

Other names 1

  • Bright Path home Doing business as

National Provider Directory

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

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1669217287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 W HOPI TRL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392064",
            "telephone_number": "602-503-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 W HOPI TRL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392064",
            "telephone_number": "602-503-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "YIRGA",
        "authorized_official_first_name": "GETACHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-503-2183"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Path home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.