MOSAIC COMMUNITY SERVICES, INC. (NPI# 1942672944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942672944 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC. |
| Practice Address |
7 Bloomsbury Ave Catonsville MD 21228-4641 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104539553 |
| Practice Fax Number | 4436121436 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4436121436 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | JEFF RICHARDSON (CEO) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
MH-1668 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DHMH LICENSE | MH-1668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760731574 | Mosaic Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10311 Malcolm Cir, Apt. B, Cockeysville, MD 21030-3937 | 2012-09-07 |
| 1255886156 | Mosaic Community Services, Inc. | Case Management | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-08-20 |
| 1417402314 | Mosaic Community Services, Inc. | Case Management | 15 S Parke St, Suite 400, Aberdeen, MD 21001-4515 | 2016-08-20 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1114370053 | Mosaic Community Services, Inc. | Case Management | 8003 Corporate Dr, Nottingham, MD 21236-4984 | 2016-07-15 |
| 1629420583 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1861844706 | Mosaic Community Services, Inc. | Clinic/Center | 1040 Hardees Dr Ste F, Aberdeen, MD 21001 | 2016-07-03 |
| 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 |
7 BLOOMSBURY AVE |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702098 | Mosaic Community Services Medical Day | Clinic/Center | 7 Bloomsbury Ave, Catonsville, MD 21228-4641 | 2007-01-08 |
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|---|---|---|---|---|
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| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1346735438 | Eva Health Services LLC | Clinic/Center | 405 Frederick Rd Ste 1, Catonsville, MD 21228-4607 | 2018-06-29 |
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| 1508352659 | Devout Healthcare Services Inc. | Clinic/Center | 6600 York Rd Ste 104, Baltimore, MD 21212-2092 | 2018-07-02 |
| 1154815454 | Compassionate Wellness Center, LLC | Clinic/Center | 44 N Potomac St Ste 101, Hagerstown, MD 21740-3301 | 2018-06-20 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1740707140 | Global Healthcare Systems, Inc | Clinic/Center | 1045 Taylor Ave Ste 104, Baltimore, MD 21286-8315 | 2017-08-25 |
| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1053648691 | Care Consultants | Clinic/Center | 7902 Old Branch Ave Ste 109, Clinton, MD 20735-1646 | 2009-11-03 |
| 1598969792 | Certified Counseling Services, Inc. of Clinton | Clinic/Center | 7911 Old Branch Ave, Second Floor, Clinton, MD 20735-1635 | 2007-06-12 |
| 1912952888 | Sky Neurological Rehabilitation LLC | Clinic/Center | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2006-05-22 |
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
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| City | CATONSVILLE |
| Zip Code | 21228 |
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.