Healthcare Provider Details
I. General information
NPI: 1295684546
Provider Name (Legal Business Name): BRIGHTWAY HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7129 MILLSTONE RD
HANOVER MD
21076-2395
US
IV. Provider business mailing address
7129 MILLSTONE RD
HANOVER MD
21076-2395
US
V. Phone/Fax
- Phone: 646-207-3187
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AFUA
ADDAE
Title or Position: CEO
Credential:
Phone: 646-207-3187