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

Jun 9, 2005

Last updated

Jan 8, 2013By 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

Brian Finglass

Title

Cfo/VP of Finance

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Futurecare Canton Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629072327. Details of each certification follow.

• CCN 215176 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 215176

Legal name

CANTON HARBOR HEALTHCARE CENTER, INC.

Doing business as

FUTURECARE CANTON HARBOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 1, 1988

Last certification

Sep 19, 2023

Beds

160

Ownership / control type

Corporation

Multi-facility organization

Future Care Health and Management

Organization structure

CorporationProprietary

Incorporated

Dec 12, 1996 in MD

Enrollment address

1300 S Ellwood Ave
Baltimore, MD 21224-4900

Nursing home name

FUTURE CARE CANTON HARBOR

Affiliated entity

FUTURE CARE/LIFEBRIDGE HEALTH

Listed as

Future Care Canton HarborCCN 215176 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 1, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160152.9 residents per day on average

Chain

Future Care/Lifebridge Health18 facilities in the chain

Penalties (3 years)

1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Charles Street Healthcare, LLC

  dba FutureCare North Charles

  • Skilled Nursing Facility
  • Baltimore, MD
  • NPI 1275537995

  The Leonard J Attman 1995 Trust

  CMS ownership

Practitioners 3

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.

• Carlos Andres Avila Molina, MD

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1114597341
  NPD (past)
• Ayan De

  • Sleep Medicine (Internal Medicine) Physician
  • Parkville, MD
  • NPI 1881139517
  NPD (past)
• Ayi Bassey Eta, MD

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1134861685
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Carlos Andres Avila Molina, MD

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1114597341

  Nursing home

  Care Compare affiliation
• Ayi Bassey Eta, MD

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1134861685

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1629072327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "STE 210B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221059",
            "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": "2005-06-09",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "FINGLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO/VP OF FINANCE",
        "authorized_official_telephone_number": "410-766-1995"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "711480000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197000300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Futurecare Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Julia Evon Cantwell, MS, OTR/L

• 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 Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.