MEDICARE: BRIGHT PATH LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225XM0800X	Mental Health Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	261QM0855X	Adolescent and Children Mental Health Clinic/Center
6	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1316835317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT PATH LIVING LLC

Provider Business Mailing Address
First Line	:	4729 ALTAIR RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-2523
Country	:	US
Telephone Number	:	804-605-6320
Fax Number	:

Provider Business Practice Location Address
First Line	:	4729 ALTAIR RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-2523
Country	:	US
Telephone Number	:	804-605-6320
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JUSTIN MOORE
Credential	:
Telephone Number	:	804-605-6320

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	07/07/2025

Similar Medicare Providers

1851089056 — BRITTANY T HARDING
Practice Location Address:

4733 ALTAIR RD
RICHMOND, VA
23231-2523

Practice Phone: 804-892-6653
Practice Fax:

1093642282 — TEREZ ENTERPISES INC.
Practice Location Address:

6213 RIVENDELL CT
HENRICO, VA
23231-4795

Practice Phone: 804-677-2115
Practice Fax:

1346177029 — TRAMAUNE STEVENS
Practice Location Address:

1704 RENARD TER
HENRICO, VA
23231-5255

Practice Phone: 804-490-1973
Practice Fax:

1124077201 — ROBERT D OSBORN LCSW
Practice Location Address:

1421 BURNING TREE RD
HENRICO, VA
23231-6804

Practice Phone: 804-218-4382
Practice Fax: 804-486-5290

1609982834 — ANGELIKA JOVIN M.D.
Practice Location Address:

4722 S LABURNUM AVE
HENRICO, VA
23231-2712

Practice Phone: 804-604-2430
Practice Fax: 877-471-2996

1598871659 — DR. TUSHAR C SHAH MD
Practice Location Address:

4722 S LABURNUM AVE
HENRICO, VA
23231-2712

Practice Phone: 804-604-2430
Practice Fax: 877-471-2996

Directions to “BRIGHT PATH LIVING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.