Mosaic
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Des Moines, IA
NPI 1053463992 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1053463992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 770674 (IA)
- Legal business name
- MOSAIC
- Practice address
- 1609 Cummins Parkway
Des Moines, IA 50311-0000 - Phone
- (515) 246-1840
- Fax
- (515) 246-8236
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Scott Hoffman
- Title
- Senior VP & Chief Financial Officer
- Phone
- (402) 896-3884
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Mosaic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 770674 | IA | Yes |
Addresses
Primary practice location
1609 Cummins Parkway
Des Moines, IA 50311-0000
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0881953 | Medicaid | IA |
Other providers in Des Moines, IA
- Sarah A Morrow
- Erik Mortens
- Steffanie Mortens
- Brittany Mortensen
- Robert W Mortenson
- Mosaic
- Mosaic
- Mosaic
- Mosaic
- Mosaic
All providers in Des Moines, IA · Intellectual Disabilities Intermediate Care Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.