Future Care-Charles Village, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30-106 Issued in MD

Legal business name

FUTURE CARE-CHARLES VILLAGE, LLC

Practice address

2327 N Charles St
Baltimore, MD 21218-5128

Phone

(410) 889-8500

Fax

(410) 889-7726

NPI assigned

Apr 6, 2016

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 Charles Village 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": "1831553742",
    "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": "2327 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185128",
            "telephone_number": "410-889-8500",
            "fax_number": "410-889-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE CARE-CHARLES VILLAGE, 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": "30-106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401310700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FutureCare Charles Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynette Kay Fuson, RN, CNS
• Richard Bradley Fuss, O.D.
• Susan Todd Futeral, PHD
• Stephen Futterer, MD
• Future Care-Charles Village, LLC
• Future Care-Irvington, LLC
• Future Care-Irvington, LLC
• Albert Y. Fuzayl, PA-C
• Esther Fuzayl, DO
• Vyacheslav Fuzaylov, M.D.

• 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.