Healthcare Provider Details

I. General information

NPI: 1972016012
Provider Name (Legal Business Name): BRIGID'S PATH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S DIXIE DR
MORAINE OH
45439-2307
US

IV. Provider business mailing address

3601 S. DIXIE DR
KETTERING OH
45439
US

V. Phone/Fax

Practice location:
  • Phone: 937-350-1785
  • Fax:
Mailing address:
  • Phone: 937-350-1785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JILL KINGSTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 937-350-1785