Organization Active NPI

Brightlife Essential Support Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1740185974
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BRIGHTLIFE ESSENTIAL SUPPORT INC
Practice address
2001 W Saratoga St
Baltimore, MD 21223-1505
Phone
(301) 665-8995
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Ms. Islammiyyah B Al-Ameen
Title
President
Phone
(301) 665-8995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2001 W Saratoga St
Baltimore, MD 21223-1505

Mailing address

2001 W Saratoga St
Baltimore, MD 21223-1505
Phone (301) 665-8995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1740185974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SARATOGA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231505",
            "telephone_number": "301-665-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W SARATOGA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231505",
            "telephone_number": "301-665-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIFE ESSENTIAL SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "AL-AMEEN",
        "authorized_official_first_name": "ISLAMMIYYAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-665-8995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Oct 8, 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.