MOSAIC COMMUNITY SERVICES - NW/CATONS (NPI# 1871690768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871690768 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES - NW/CATONS |
| Practice Address |
3525 Resource Dr Randallstown MD 21133-4733 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4104539553 |
| Practice Fax Number | 4103088926 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4103088926 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | MR. JEFF RICHARDSON (CEO) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 159380302 | 05 |
| Street Address |
3525 RESOURCE DR |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013419589 | Christine Lorraine Bartch | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2018-03-01 |
| 1558875054 | Beverly Lynette Grace | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2017-11-21 |
| 1033652011 | Carla Perry | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2016-11-23 |
| 1659814655 | Megan Blake | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2016-11-22 |
| 1427418631 | Dana Boone | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2016-03-01 |
| 1073983474 | Anna Kvech-hughes | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2015-09-29 |
| 1801201033 | Gail Savoie | Social Worker | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2014-06-26 |
| 1427394238 | Barbara Jane Vaught | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2012-12-26 |
| 1649542242 | Suzanne Rachel Freedman | Social Worker | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2012-01-30 |
| 1124309646 | Sandra Haskett | Registered Nurse | 3525 Resource Dr, Randallstown, MD 21133-4733 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876386 | The Zett Foundation Lncorporated | Clinic/Center | 1610 George Ave, Severn, MD 21144-3206 | 2020-09-17 |
| 1962033118 | S Hollingsworth LLC | Clinic/Center | 2 E Potomac St, Brunswick, MD 21716-1411 | 2020-01-27 |
| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
| 1720641509 | Process of Changes | Clinic/Center | 1000 Ingleside Ave Ste 1, Catonsville, MD 21228-1317 | 2019-04-17 |
| 1720567373 | Pgi Holdings LLC | Clinic/Center | 515 E Joppa Rd Ste 104, Towson, MD 21286-1804 | 2018-08-13 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1558869032 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 300 Scholls Ln Ste B, Frederick, MD 21701-6380 | 2018-01-30 |
| 1659885457 | C.h.o.i.c.e.s. International | Clinic/Center | 9701 Apollo Dr Ste 304, Upper Marlboro, MD 20774-4790 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on MOSAIC COMMUNITY SERVICES - NW/CATONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.