Active NPI
Bright Path Living
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Surprise, AZ
National Provider Identifier
1932033537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.