Future Care-Irvington, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30-083 Issued in MD

Legal business name

FUTURE CARE-IRVINGTON, LLC

Doing business as

FutureCare Irvington

Practice address

22 S Athol Ave
Baltimore, MD 21229-3405

Phone

(410) 947-3052

Fax

(410) 947-4075

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 Finglass, CFO

Title

VP of Finance

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FutureCare Irvington 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": "1477917383",
    "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": "470-761-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-947-3052",
            "fax_number": "410-947-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE CARE-IRVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "FINGLASS",
        "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": "30-083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401018300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FutureCare Irvington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Todd Futeral, PHD
• Stephen Futterer, MD
• Future Care-Charles Village, LLC (FutureCare Charles Village)
• Future Care-Charles Village, LLC (FutureCare Charles Village)
• Future Care-Irvington, LLC (FutureCare Irvington)
• Albert Y. Fuzayl, PA-C
• Esther Fuzayl, DO
• Vyacheslav Fuzaylov, M.D.
• FX Studios, LLC
• FX Well LLC

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, 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.