Arise & Shine Health Center LLC

Primary specialty

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

Legal business name

ARISE & SHINE HEALTH CENTER LLC

Practice address

2301 Dorsey Rd Ste 208
Glen Burnie, MD 21061-3275

Phone

(443) 466-1476

NPI assigned

Oct 17, 2020

Organization subpart

No

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

Authorized official

Name

Vivian Ndombi Tantoh

Title

Director

Phone

(443) 466-1476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Arise & Shine Health Center LLC

  • Clinic/Center
  • Glen Burnie, MD
  • NPI 1942089800

  O20200716002615

  Same enrollment
• Arise & Shine Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1942824750

  O20200716002615

  Same enrollment

Locations

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1972102309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 DORSEY RD STE 208",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 DORSEY RD STE 208",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613275",
            "telephone_number": "443-466-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE & SHINE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "TANTOH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "NDOMBI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-466-1476"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osenat Aremu
• Arise & Shine Health Center LLC
• Arise & Shine Health Center LLC
• Arise & Shine Health Center LLC
• Arise & Shine Health Center LLC
• Arman C. Moshyedi, MD, LLC
• Armour Luxe LLC
• Harvinder Arora, MD
• Arturo Betancourt, M.D., P.a.
• Arturo Betancourt, M.D., P.a.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Burnie, MD
• Providers in Glen Burnie, 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 Oct 17, 2020; 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.