NPIMap

Organization Active NPI

Bright Life Enhancement Services,L.L.C

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1174336150
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Practice address
4200 Edmondson Ave Ste 200
Baltimore, MD 21229-1614
Phone
(410) 988-2655
Fax
(410) 988-2626
NPI assigned
Jan 31, 2025
Last updated
Mar 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Islammiyyah B Al-AmeenNPI 1861218760
Title
Director of Programs
Phone
(410) 988-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4200 Edmondson Ave Ste 200
Baltimore, MD 21229-1614

Mailing address

4200 Edmondson Ave Ste 200
Baltimore, MD 21229-1614
Phone (410) 988-2655

National Provider Directory

National Provider Directory
Tax ID family
Brightlife Enhancement Services LLC5 organizations share this tax ID, including this one
Part of
Brightlife Enhancement Services LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1174336150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291614",
            "telephone_number": "410-988-2655",
            "fax_number": "410-988-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291614",
            "telephone_number": "410-988-2655",
            "fax_number": "410-988-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C",
        "enumeration_date": "2025-01-31",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "AL-AMEEN",
        "authorized_official_first_name": "ISLAMMIYYAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "410-988-2655"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.