Mosaic Community Services, Inc.

LBN: Mosaic Community Services, Inc.
Mosaic Community Services, Inc. is an health care organization with primary practice located at 234 S Broadway , Baltimore MD 21231-2405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Mosaic Community Services, Inc. can be contacted via phone (410) 675-4704, or through Richardson, Jeff via phone (410) 453-9553.

Contact Information

Primary practice address
234 S Broadway Baltimore MD 21231-2405
Phone: (410) 675-4704
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Jeff CEO
Phone: (410) 453-9553

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X MH-2044 Maryland

Profile Details

NPI number 1588016422
LBN Legal business name Mosaic Community Services, Inc.
DBA Doing business as
Authorized official Richardson, Jeff CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2016
Last updated Jul 5th, 2016 - about 8 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 1588016422 NPPES
Maryland Other MH-2044 DHMH LICENSE

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