Healthcare Provider Details

I. General information

NPI: 1376132886
Provider Name (Legal Business Name): BRIGHTER PATHS HOME HEALTH CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 TORRESDALE AVE
PHILADELPHIA PA
19135-4127
US

IV. Provider business mailing address

1108 CASEY DR
NEW CASTLE DE
19720-5683
US

V. Phone/Fax

Practice location:
  • Phone: 215-300-9134
  • Fax:
Mailing address:
  • Phone: 215-300-9134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: WAYNE O'NEAL
Title or Position: OWNER
Credential:
Phone: 215-300-9134