Organization Active NPI

Sandtown Winchester Nusing Home, LLC

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1902260813
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
30-094 Issued in MD
Legal business name
SANDTOWN WINCHESTER NUSING HOME, LLC
Practice address
1000 N Gilmor St
Baltimore, MD 21217-2207
Phone
(410) 669-2750
Fax
(410) 669-3875
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 30-094 MD Primary

Addresses

Primary practice location

1000 N Gilmor St
Baltimore, MD 21217-2207

Mailing address

8028 Ritchie Hwy
Suite 210B
Pasadena, MD 21122-1075
Phone (410) 766-1995

Other identifiers 1

IdentifierTypeStateIssuer
3004007 00MedicaidMD

Other names 1

  • FutureCare Sandtown Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1902260813",
    "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": "1000 N GILMOR ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172207",
            "telephone_number": "410-669-2750",
            "fax_number": "410-669-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDTOWN WINCHESTER NUSING HOME, 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": "30-094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004007 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FutureCare Sandtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • 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.