Organization Active NPI

Bright Path Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Surprise, AZ
National Provider Identifier
1932033537
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BRIGHT PATH LIVING
Practice address
13379 W Tara LN
Surprise, AZ 85374-5281
Phone
(602) 802-2880
NPI assigned
Jun 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Micah Shawn Cordell Pete
Title
Ceo/Founder
Phone
(602) 802-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

13379 W Tara LN
Surprise, AZ 85374-5281

Mailing address

13379 W Tara LN
Surprise, AZ 85374-5281
Phone (602) 802-2880

Other names 1

  • Bright Path Living LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1932033537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13379 W TARA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745281",
            "telephone_number": "602-802-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13379 W TARA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745281",
            "telephone_number": "602-802-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "PETE",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "SHAWN CORDELL",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "602-802-2880"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Path Living LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.