Provider Demographics
NPI:1831967314
Name:BRIGHTPATH HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:BRIGHTPATH HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-770-1564
Mailing Address - Street 1:235 CHESTNUT ST STE 309
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1100
Mailing Address - Country:US
Mailing Address - Phone:978-770-1564
Mailing Address - Fax:
Practice Address - Street 1:235 CHESTNUT ST STE 309
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1100
Practice Address - Country:US
Practice Address - Phone:978-770-1564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health