Mosaic Community Services

LBN: Mosaic Community Services
Mosaic Community Services is an health care organization with primary practice located at 2225 N Charles St , Baltimore MD 21218-5778. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Mosaic Community Services can be contacted via phone (410) 366-4360, or through Richardson, Jeffrey W via phone (410) 453-9553.

Contact Information

Primary practice address
2225 N Charles St Baltimore MD 21218-5778
Fax: (410) 662-8547
Website:
Authorized official contact:
Name: Richardson, Jeffrey W LCSW-C

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1255509493
LBN Legal business name Mosaic Community Services
DBA Doing business as
Authorized official Richardson, Jeffrey W LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Nov 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255509493 NPPES
Maryland MEDICAID 371331800

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