Canton Harbor Healthcare Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30-001 Issued in MD

Legal business name

CANTON HARBOR HEALTHCARE CENTER, INC

Doing business as

FutureCare Canton

Practice address

1300 S Ellwood Ave
Baltimore, MD 21224-4900

Phone

(410) 342-6644

Fax

(410) 327-3949

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 Canton 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": "1568826477",
    "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": "1300 S ELLWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244900",
            "telephone_number": "410-342-6644",
            "fax_number": "410-327-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON HARBOR HEALTHCARE CENTER, INC",
        "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": "30-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005038 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FutureCare Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Cantilena, MD
• Jennifer Cantley
• Marcia Irene Canto, M.D.
• Canton Child and Family Therapy Clinic LLC
• Canton Crossing Optometry, LLC (MyEyeDr)
• Canton Harbor Healthcare Center, Inc (Futurecare Canton)
• Canton Orthopaedic & Sports Rehabilitation Inc
• Canton Vision Center, Inc. (Canton Vision Center)
• Nechamah A Cantor, OTR/L
• Victoria Rose Cantoral, DO

• 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.