Healthcare Provider Details

I. General information

NPI: 1225943657
Provider Name (Legal Business Name): BRIGHT PATH HOME CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 LILAC DR N STE 2515
GOLDEN VALLEY MN
55422-4535
US

IV. Provider business mailing address

1405 LILAC DR N STE 2515
GOLDEN VALLEY MN
55422-4535
US

V. Phone/Fax

Practice location:
  • Phone: 612-223-1115
  • Fax:
Mailing address:
  • Phone: 612-223-1115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ABDIRAHIM QAYBDID
Title or Position: CEO
Credential:
Phone: 612-223-1115