MEDICARE: BRIGHTPATH WELLNESS HOME HEALTHCARE AGENCY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1770449241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTPATH WELLNESS HOME HEALTHCARE AGENCY

Provider Business Mailing Address
First Line	:	1345 WAYCROSS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2906
Country	:	US
Telephone Number	:	513-488-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 WAYCROSS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2906
Country	:	US
Telephone Number	:	513-488-9930
Fax Number	:

Authorized Official
Title or Position	:	AGENCY OWNER
Name	:	MS. ELITA HARDY
Credential	:
Telephone Number	:	513-488-9930

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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