Healthcare Provider Details

I. General information

NPI: 1962322859
Provider Name (Legal Business Name): BRIGHT PATH SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BLACKBERRY WAY UNIT 101
MANCHESTER NH
03102-8116
US

IV. Provider business mailing address

1 BLACKBERRY WAY UNIT 101
MANCHESTER NH
03102-8116
US

V. Phone/Fax

Practice location:
  • Phone: 443-794-0335
  • Fax: 443-794-0335
Mailing address:
  • Phone: 443-794-0335
  • Fax: 443-794-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BINU POKHAREL
Title or Position: OWNER
Credential:
Phone: 443-794-0335