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General NPI Number Information
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NPI Number | 1740113091
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Entity Type | Organization
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Legal Business Name | EVERGREEN BRIGHT PATH HORIZONS
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 1508 W JEFFERSON AVE UNIT D
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City | NAPERVILLE
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State | IL
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Zip | 60540-5066
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Country | US
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Telephone | 630-870-6453
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | WARRENVILLE
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State | IL
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Zip | 60555-0010
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Country | US
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Telephone | 630-870-6453
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Fax |
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Authorized Official
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Title or Position | FOUNDER & PRESIDENT
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Name | ERIKA WADE
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Credential |
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Telephone | 630-870-6453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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