Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MOSAIC

Practice address

102 Kellys CT
Forest City, IA 50436-2245

Phone

(641) 585-5451

NPI assigned

Mar 26, 2012

Last updated

Jun 8, 2021By 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

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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 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 1184776023
  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
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Logan, IA
  • NPI 1265584197
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Nevada, IA
  • NPI 1275809147
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Forest City, IA
  • NPI 1295001162
  NPD tax ID

Locations

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": "1306112271",
    "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": "102 KELLYS CT",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504362245",
            "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla McWilliams, PT, DPT
• Jason J Miller, R.PH.
• Robert Royston Morrison
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic

• Intellectual Disabilities Intermediate Care Facility in Forest City, IA
• Providers in Forest City, 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 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.

Verify at the official NPI Registry.