MEDICARE: BRIGHTPATH HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1093670101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTPATH HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	16801 CAPON TREE LN
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-5134
Country	:	US
Telephone Number	:	703-865-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	16801 CAPON TREE LN
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-5134
Country	:	US
Telephone Number	:	703-865-9191
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MABEL QUEEN SESAY
Credential	:
Telephone Number	:	703-865-9191

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “BRIGHTPATH HEALTH CARE SERVICES ” Practice Location

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