NPIMap

Organization Active NPI

Mosaic Community Services

  • Rehabilitation Clinic/Center
  • Westminster, MD
National Provider Identifier
1003076258
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MOSAIC COMMUNITY SERVICES
Practice address
288 E Green St BLDG Ab
Westminster, MD 21157-5410
Phone
(410) 876-3007
Fax
(410) 751-7797
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Kessler
Title
Director, Revenue Cycle
Phone
(410) 382-8111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

288 E Green St BLDG Ab
Westminster, MD 21157-5410

Mailing address

PO Box 45709
Baltimore, MD 21297-5709

Other identifiers 1

IdentifierTypeStateIssuer
371331802MedicaidMD

Other names 1

  • Sheppard Pratt Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Community Services Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

288 E Green St
Bldg Ab
Westminster, MD 21157
Phone (410) 876-3007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1003076258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E GREEN ST BLDG AB",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575410",
            "telephone_number": "410-876-3007",
            "fax_number": "410-751-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "410-382-8111"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371331802",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheppard Pratt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.