Mosaic Community Services, Inc

LBN: Mosaic Community Services, Inc
Mosaic Community Services, Inc 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, Inc can be contacted via phone (410) 366-4360, or through Richardson, Jeff via phone (410) 453-9553.

Contact Information

Primary practice address
2225 N Charles St Baltimore MD 21218-5778
Phone: (410) 366-4360
Fax: (410) 308-8926
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Jeff LCSW-C
Phone: (410) 453-9553

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1538488903
LBN Legal business name Mosaic Community Services, Inc
DBA Doing business as
Authorized official Richardson, Jeff LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2010
Last updated Jan 18th, 2022 - about 2 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 1538488903 NPPES
Maryland MEDICAID 371331806

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