Future Care Old Court, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-054 Issued in MD

Legal business name

FUTURE CARE OLD COURT, INC.

Doing business as

FutureCare Old Court

Practice address

5412 Old Court Rd
Randallstown, MD 21133-5104

Phone

(410) 922-3200

Fax

(410) 922-8521

NPI assigned

Apr 6, 2016

Last updated

Apr 6, 2016By 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

Mr. Brian Fingalss, CFO

Title

VP of Finance

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FutureCare Old Court Doing business as

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1093179905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 210B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-766-1995",
            "fax_number": "410-761-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335104",
            "telephone_number": "410-922-3200",
            "fax_number": "410-922-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE CARE OLD COURT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "FINGALSS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "410-766-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091022 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FutureCare Old Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Rachel Freedman, LCSW-C
• Akiba Freeman, LCSW-C
• Debra Freeman, M.D.
• Fresenius Medical Care Randallstown, LLC (Fresenius Medical Care Patapsco Valley)
• Steven D Fuller, PHD DO
• Future Care Old Court, Inc. (FutureCare Old Court)
• Natalie Jean Gaines, RN
• Tim Gallion
• Nishith Vadilal Gandhi, PHARMACIST
• Antoinette Cavira Garrett, HEALTH COACH

• Skilled Nursing Facility in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.