Active NPI
Mosaic
- Intellectual Disabilities Intermediate Care Facility
- Forest City, IA
National Provider Identifier
1093081960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- MOSAIC
- Practice address
- 138 Indian Ave
Forest City, IA 50436-2321 - Phone
- (641) 585-5451
- NPI assigned
- Mar 26, 2012
- Last updated
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Hoffman
- Title
- Senior VP & Chief Financial Officer
- Phone
- (402) 896-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
138 Indian Ave
Forest City, IA 50436-2321
Mailing address
102 W Park St
Forest City, IA 50436-2132
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1053463992
-
- Intellectual Disabilities Intermediate Care Facility
- West Des Moines, IA
- NPI 1063564904
-
- Intellectual Disabilities Intermediate Care Facility
- Clarion, IA
- NPI 1104192087
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1144372087
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1154473098
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Waukon, IA
- NPI 1154478857
-
- Mental Illness Community Based Residential Treatment Facility
- Logan, IA
- NPI 1174663801
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1174675011
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1184776023
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1235281171
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1245382183
-
- Mental Illness Community Based Residential Treatment Facility
- Osceola, IA
- NPI 1245733310
Locations
138 Indian Ave
Forest City, IA 50436
Phone (641) 585-5502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1093081960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W PARK ST",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504362132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 INDIAN AVE",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504362321",
"telephone_number": "641-585-5451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-26",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "SENIOR VP & CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "402-896-3884"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.