{"npi":"1275537995","type":"NPI-2","status":"active","name":{"display":"Charles Street Healthcare, LLC","other":[],"organization_name":"CHARLES STREET HEALTHCARE, LLC","authorised_official":"Brian Finglass"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"MD","license":"30-018"}]},"addresses":[{"purpose":"LOCATION","street_1":"2700 N CHARLES ST","city":"BALTIMORE","state":"MD","postal_code":"212184300","country_code":"US","phone":"4105546300","fax":"4105543919"},{"purpose":"MAILING","street_1":"8028 RITCHIE HWY","city":"PASADENA","state":"MD","postal_code":"211221059","country_code":"US","street_2":"STE 210B","phone":"4107661995","fax":"4107616095"}],"license":{"state":"MD","number":"30-018"},"identifiers":[{"type_code":"01","label":"Other","value":"790400200","state":"MD","issuer":"MEDICAID DME"},{"type_code":"05","label":"Medicaid","value":"842825500","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20071211000557","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"MD","pac_id":"8426147695"}]},"enumeration_date":"2005-06-10","last_updated":"2009-09-17","_meta":{"source":"NPPES","snapshot_date":"2009-09-17","doc_url":"https://findmynpi.com/api"}}