Healthcare Provider Details

I. General information

NPI: 1437015294
Provider Name (Legal Business Name): BRIGHT PATH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8918 S 40TH DR
LAVEEN AZ
85339-7810
US

IV. Provider business mailing address

8513 S 41ST DR
LAVEEN AZ
85339-7823
US

V. Phone/Fax

Practice location:
  • Phone: 602-558-9647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: GETACHEW W YIRGA
Title or Position: OWNER
Credential:
Phone: 602-558-9647