Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

770616 Issued in IA

Legal business name

MOSAIC

Practice address

4201 41St Street
Des Moines, IA 50310

Phone

(515) 246-1840

Fax

(515) 246-8236

NPI assigned

Jan 18, 2007

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1053463992
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • West Des Moines, IA
  • NPI 1063564904
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Forest City, IA
  • NPI 1093081960
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Clarion, IA
  • NPI 1104192087
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1144372087
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1154473098
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waukon, IA
  • NPI 1154478857
  NPD tax ID
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Logan, IA
  • NPI 1174663801
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1174675011
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1235281171
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1245382183
  NPD tax ID
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Osceola, IA
  • NPI 1245733310
  NPD tax ID

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1184776023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372220",
            "telephone_number": "402-896-3884",
            "fax_number": "402-894-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 41ST STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50310",
            "telephone_number": "515-246-1840",
            "fax_number": "515-246-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "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": "IA",
            "license": "770616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881771",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Mortenson, DPT
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic

• Intellectual Disabilities Intermediate Care Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Intellectual Disabilities Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.