MEDICARE: BRIGHT PATH HOMES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447112123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT PATH HOMES LLC

Provider Business Mailing Address
First Line	:	11811 SHAKER BLVD STE 204-1288
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1931
Country	:	US
Telephone Number	:	216-342-2942
Fax Number	:

Provider Business Practice Location Address
First Line	:	11811 SHAKER BLVD STE 204-1288
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1931
Country	:	US
Telephone Number	:	216-342-2942
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. BRIDGETTE M. LEWIS
Credential	:
Telephone Number	:	216-342-2942

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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