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NPI Code Detail

MEDICARE: BRIGHTPATH HOME HEALTH LLC

MEDICARE: BRIGHTPATH HOME HEALTH 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1528933710
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTPATH HOME HEALTH LLC
Provider Business Mailing Address
First Line : 1274 MARTIN ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30315-2315
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1274 MARTIN ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30315-2315
Country : US
Telephone Number : 404-353-9149
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DEVRON MENDES
Credential :
Telephone Number : 404-353-9149
Provider Enumeration Date : 10/07/2025
Last Update Date : 10/07/2025

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Directions to “BRIGHTPATH HOME HEALTH LLC ” Practice Location

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