CHARLES STREET HEALTHCARE, LLC (NPI# 1164886024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164886024 |
| Entity Type | Organization |
| Organization Name | CHARLES STREET HEALTHCARE, LLC |
| Other Organization Name | FUTURECARE HOMEWOOD |
| Practice Address |
2700 N Charles St Baltimore MD 21218-4300 |
| Mailing Address |
8028 Ritchie Hwy Suite 210b Pasadena MD 21122-1075 |
| Practice Telephone | 4705546300 |
| Practice Fax Number | 4105543919 |
| Mailing Telephone | 4107661995 |
| Mailing Fax Number | 4707616095 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | MR. BRIAN FINGLASS (VP OF FINANCE) |
| Authorized Official Telephone | 4107661995 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 30-018 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 3006034 00 | 05 |
| Other Name | Type Code |
|---|---|
| FutureCare Homewood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537995 | Charles Street Healthcare, LLC | Skilled Nursing Facility | 2700 N Charles St, Baltimore, MD 21218-4300 | 2005-06-10 |
| Street Address |
2700 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537995 | Charles Street Healthcare, LLC | Skilled Nursing Facility | 2700 N Charles St, Baltimore, MD 21218-4300 | 2005-06-10 |
| 1568090603 | Cassandra Hall | Occupational Therapy Assistant | 2700 N Charles St, Baltimore, MD 21218-4300 | 2020-04-01 |
| 1891212023 | Catherine Louise Mitchell | Physical Therapist | 2700 N Charles St, Baltimore, MD 21218-4300 | 2017-08-28 |
| 1356732242 | Rebecca Ann Gluck | Physician Assistant | 2700 N Charles St, Baltimore, MD 21218-4300 | 2015-02-12 |
| 1265488431 | Suja Roy | Nurse Practitioner | 2700 N Charles St, Baltimore, MD 21218-4300 | 2006-05-26 |
| 1972566479 | Dca of North Baltimore LLC | Clinic/Center | 2700 N Charles St, Baltimore, MD 21218-4300 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927489 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 North Point Rd, Baltimore, MD 21224-3307 | 2016-04-06 |
| 1851770374 | Celia Alicia Akossiwa Essi Yovo | Skilled Nursing Facility | 4821 Belair Rd, Baltimore, MD 21206-5731 | 2015-05-29 |
| 1740555986 | Nissim S Rakhminov | Skilled Nursing Facility | 6716 Old Pimlico Rd, Baltimore, MD 21209-1612 | 2012-03-21 |
| 1962790717 | Blue Point Snf LLC | Skilled Nursing Facility | 2525 West Belvedere Ave, Baltimore, MD 21215 | 2011-07-14 |
| 1396044608 | Acc Green House Residences, Inc | Skilled Nursing Facility | 1010 E 33rd St, Baltimore, MD 21218-3636 | 2011-03-25 |
| 1811294226 | Mercy Villa Convent, Inc. | Skilled Nursing Facility | 6806 Bellona Ave, Baltimore, MD 21212-1219 | 2011-02-21 |
| 1972785004 | 1046 North Point, LLC | Skilled Nursing Facility | 1046 Old Northpoint Rd, Baltimore, MD 21224-3307 | 2007-11-30 |
| 1831310143 | The Wesley | Skilled Nursing Facility | 2211 W Rogers Ave, Baltimore, MD 21209-4424 | 2007-05-02 |
| 1760543367 | Aslc Opco Md I, LLC | Skilled Nursing Facility | 1300 Windlass Dr, Baltimore, MD 21220-4126 | 2006-12-13 |
| 1417045691 | Rock Glen Healthcare, Inc. | Skilled Nursing Facility | 10 N Rock Glen Rd, Baltimore, MD 21229-3250 | 2006-10-11 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.