MOSAIC COMMUNITY SERVICES, INC (NPI# 1114564143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114564143 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC |
| Practice Address |
288 E Green St Westminster MD 21157-5410 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104539553 |
| Mailing Telephone | 4104539553 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | SUE KESSLER (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 4104539553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466313 | Mosaic Community Services, Inc | Counselor | 640 E Diamond Ave Ste B, Gaithersburg, MD 20877-5331 | 2018-08-14 |
| 1912508144 | Mosaic Community Services, Inc | Clinic/Center | 6501 North Charles St, Gibson Building, Baltimore, MD 21204 | 2020-11-04 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1194363838 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2019-12-12 |
| 1124470067 | Mosaic Community Services, Inc | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-07-03 |
| 1598084626 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2010-05-28 |
| 1134279284 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2007-01-11 |
| 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 |
288 E GREEN ST |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067438 | Yusuke Sagawa | Psychiatry & Neurology | 288 E Green St, Westminster, MD 21157-5410 | 2006-03-22 |
| 1649871435 | Kourtney Green | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2020-11-06 |
| 1306467428 | Medly Baltimore Inc. | Pharmacy | 288 E Green St, Westminster, MD 21157-5410 | 2020-04-29 |
| 1225564552 | Kyle Vincent Shuman | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2017-05-05 |
| 1841747987 | Krystin Bartynski | Social Worker | 288 E Green St, Westminster, MD 21157-5410 | 2016-09-07 |
| 1871965871 | Mosaic Community Services, Inc. | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2015-10-29 |
| 1932455888 | Carlie Belt | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2012-07-30 |
| 1295006906 | Whitney Thompson | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2012-01-26 |
| 1699045567 | Susan Alberta Vanderhoff | Social Worker | 288 E Green St, Westminster, MD 21157-5410 | 2012-01-09 |
| 1891065314 | Daniel Young | Counselor | 288 E Green St, Westminster, MD 21157-5410 | 2012-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 1043859747 | Peak Rehabilitation of Denver LLC | Clinic/Center | 2751 W 120th Ave Ste 150, Westminster, CO 80234-2979 | 2019-12-27 |
| 1346896081 | Select Physical Therapy of West Denver Limited Partnership | Clinic/Center | 8601 Turnpike Dr Ste 204, Westminster, CO 80031-7043 | 2019-08-16 |
| 1346887536 | Matrix Rehabilitation, Inc. | Clinic/Center | 16401 Magnolia St Ste 108, Westminster, CA 92683-7868 | 2019-12-06 |
| 1326699919 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2019-09-25 |
| 1548653884 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2015-03-11 |
| 1942632682 | Life Renewal Services, Inc | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2013-08-05 |
| 1720123821 | Deerfield Healthcare Corp. | Clinic/Center | 1135 Business Pkwy S, Suite 60, Westminster, MD 21157-3019 | 2007-02-20 |
| 1205932456 | Physiotherapy Associates Inc | Clinic/Center | 826 Washington Rd, Westminster, MD 21157-5750 | 2006-09-15 |
| 1760408165 | Granite House, Inc | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2006-07-15 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on MOSAIC COMMUNITY SERVICES, INC.
| 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.