Brighterlife Healthcare Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIGHTERLIFE HEALTHCARE SERVICES INC

Practice address

10903 Indian Head Hwy Ste 504
Ft Washington, MD 20744-4012

Phone

(240) 493-4704

Fax

(301) 753-7003

NPI assigned

Oct 20, 2020

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahaoma Rose Nnebedum, PMHNPNPI 1326491671

Title

President

Phone

(240) 467-0628

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Ahaoma Rose Nnebedum

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1326491671

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1316546575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ROBERT BOWIE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745667",
            "telephone_number": "240-467-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 504",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "telephone_number": "240-493-4704",
            "fax_number": "301-753-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Robert Bowie Dr",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745667",
            "country_code": "US",
            "telephone_number": "240-467-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTERLIFE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "NNEBEDUM",
        "authorized_official_first_name": "AHAOMA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-467-0628",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Benjamin Bovell, MD
• Breakthrough Healthcare Services (Breakthrough rehabilitative services)
• Breakthrough Healthcare Services
• Breakthrough Healthcare Services (Breakthrough rehabilitative services)
• Shaniqua Delia Briggs Dubose
• Sarah Loren Brooks
• Benjamin T. Brown, M.D.
• Edward Claude Brown, D.D.S.
• Melissa Louise Brown, LCSW-C
• Bonnie L Bryant, PHD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.