BRIGHT PATH GROUP LLC NPI 1629827274

NPI Information

  • NPI: 1629827274
  • Provider Name: BRIGHT PATH GROUP LLC
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • CLIA Number: 03D2309465
  • Address: 5624 W EUCLID AVE
    LAVEEN, AZ
    ZIP 85339
  • Phone: (602) 503-2183

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NPI Details

BRIGHT PATH GROUP LLC is an assisted living and behavioral disturbances assisted living facility in Laveen, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. BRIGHT PATH GROUP LLC NPI is 1629827274. The provider is registered as an organization entity type.

The provider's business location address is:

5624 W EUCLID AVE
LAVEEN, AZ
ZIP 85339-246
Phone: (602) 503-2183

The provider's authorized official is Getachew Path Group Yirga .
The authorized official title is Owner and has the following contact phone number (602) 503-2183.

The CLIA number assigned to this NPI record is 03D2309465 - other - nursing supported group h with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2024 and was last updated on 6/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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