NPIMap

Organization Active NPI

Arise & Shine Health Center LLC

  • Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1942089800
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARISE & SHINE HEALTH CENTER LLC
Practice address
14 Wellham Ave NW
Glen Burnie, MD 21061-2200
Phone
(443) 374-5044
Fax
(443) 557-0810
NPI assigned
Sep 28, 2023
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Vivian Ndombi TantohNPI 1801363213
Title
Ceo
Phone
(443) 466-1476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14 Wellham Ave NW
Glen Burnie, MD 21061-2200

Mailing address

14 Wellham Ave NW
Glen Burnie, MD 21061-2200
Phone (443) 374-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200716002615 MD Part B Supplier - Clinic/Group Practice 5092139501 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Burnie, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

14 Wellham Ave NW
Glen Burnie, MD 21061
Phone (410) 787-2499

7452 Baltimore Annapolis Blvd
Ste 200
Glen Burnie, MD 21061
Phone (443) 209-7100

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": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1942089800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WELLHAM AVE NW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612200",
            "telephone_number": "443-374-5044",
            "fax_number": "443-557-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WELLHAM AVE NW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612200",
            "telephone_number": "443-374-5044",
            "fax_number": "443-557-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE & SHINE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TANTOH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "NDOMBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-466-1476"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.