Active NPI
Mosaic Monarch LLC
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1104783281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MOSAIC MONARCH LLC
- Practice address
- 3056 Belden St
Jacksonville, FL 32207-3798 - Phone
- (502) 615-9644
- NPI assigned
- Jan 8, 2026
- 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
- Ms. Dsarah Lattimore
- Title
- Owner / Managing Member
- Phone
- (502) 615-9644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
3056 Belden St
Jacksonville, FL 32207-3798
Mailing address
4320 Deerwood Lake Pkwy
Jacksonville, FL 32216-1177
Phone (904) 860-1209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1104783281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 DEERWOOD LAKE PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161177",
"telephone_number": "904-860-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3056 BELDEN ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073798",
"telephone_number": "502-615-9644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC MONARCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "LATTIMORE",
"authorized_official_first_name": "DSARAH",
"authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
"authorized_official_telephone_number": "502-615-9644",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.