MOSAIC COMMUNITY SERVICES (NPI# 1063699395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063699395 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES |
| Practice Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104539553 |
| Practice Fax Number | 4103088926 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4103088926 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | JEFFREY W RICHARDSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 371331800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205014818 | Mosaic Community Services | Clinic/Center | 27 Mellor Ave, Catonsville, MD 21228-5106 | 2008-02-06 |
| 1932386257 | Mosaic Community Services | Clinic/Center | 20 Winters Ln, Catonsville, MD 21228-4432 | 2008-01-29 |
| 1528229283 | Mosaic Community Services | Clinic/Center | 9201 Philadelphia Rd, Rosedale, MD 21237 | 2008-06-24 |
| 1003076258 | Mosaic Community Services | Community/Behavioral Health | 288 E Green St, Westminster, MD 21157-5410 | 2008-06-11 |
| 1669632147 | Mosaic Community Services | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2008-06-10 |
| 1255509493 | Mosaic Community Services | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2008-02-11 |
| 1235317884 | Mosaic Community Services | Clinic/Center | 5 Bloomsbury Ave, Catonsville, MD 21228-4641 | 2008-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
1925 GREENSPRING DR |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689293 | Supriya Narang | Psychiatry & Neurology | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2006-02-21 |
| 1821578659 | Katrina Charlene Broughton | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2018-08-21 |
| 1871944454 | Aderonke Dunni | Licensed Practical Nurse | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-06-25 |
| 1952755886 | Chevelle Johnson Brown | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-04-18 |
| 1942663356 | Daphine Leake | Counselor | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-04-01 |
| 1023476991 | Monique Celeste Wilson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2016-02-05 |
| 1275900979 | Deborah Higgins | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2015-08-28 |
| 1578944377 | Lisa Vilar | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2015-06-17 |
| 1316089527 | Jeffrey Richardson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-02-13 |
| 1710038880 | Mosaic Community Services-fcc | Clinic/Center | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992238687 | The Johns Hopkins Hospital | Clinic/Center | 110 W Timonium Road Suite 100, Timonium, MD 20193-3117 | 2017-04-10 |
| 1770689879 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 12201 Tullamore Rd, Timonium, MD 21093-7816 | 2006-09-15 |
| 1194363838 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2019-12-12 |
| 1689045411 | Mosaic Community Services, Inc. | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2015-10-20 |
| 1598953523 | Peoplefirst Virginia, LLC | Clinic/Center | 2525 Pot Spring Rd, Timonium, MD 21093-2778 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 1427669159 | Phaze Counseling Services Inc | Clinic/Center | 4425 Fitch Ave Ste 118, Nottingham, MD 21236-3927 | 2020-08-14 |
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 1821606583 | Fine, Bryant & Wah, Inc. | Clinic/Center | 1707 Whetstone Way, Baltimore, MD 21230-5198 | 2020-07-20 |
| 1912520685 | Recovery Center of Maryland | Clinic/Center | 211 E 25th St, Baltimore, MD 21218-5217 | 2020-05-28 |
| 1013546944 | National Rehabiliation Hospital, Inc | Clinic/Center | 1838 Greene Tree Rd Ste 245, Baltimore, MD 21208-7110 | 2020-04-02 |
| 1831734920 | On Track Rehabilitation, LLC | Clinic/Center | 3702 Brenbrook Dr, Randallstown, MD 21133-4116 | 2019-11-12 |
| 1184277303 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1305 S Salisbury Blvd Unit 5, Salisbury, MD 21801-6845 | 2019-07-17 |
| 1235791625 | Focused Care, LLC | Clinic/Center | 8070 Georgia Ave Ste 605, Silver Spring, MD 20910-4948 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
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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.