MOSAIC COMMUNITY SERVICES INC. NPI 1366815169

NPI Information

NPI: 1366815169
Provider Name: MOSAIC COMMUNITY SERVICES, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2225 N CHARLES ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 466-8277
Get Directions

MOSAIC COMMUNITY SERVICES, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Baltimore, MD. MOSAIC COMMUNITY SERVICES, INC. NPI is 1366815169. The provider is registered as an organization entity type.

The provider's business location address is:

2225 N CHARLES ST
BALTIMORE, MD
ZIP 21218-778
Phone: (410) 466-8277
Fax: (443) 612-1488

The provider's authorized official is Jeff Richardson .
The authorized official title is Ceo and has the following contact phone number (410) 453-9553.

The enumeration date for this NPI number is 11/3/2015 and was last updated on 11/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	MH-1276	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MH-1276	OTHER	MARYLAND	DHMH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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