Mosaic

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MOSAIC

Practice address

1111 S Alpine Rd Ste 401
Rockford, IL 61108-3940

Phone

(815) 387-8390

Fax

(815) 387-9055

NPI assigned

Jan 18, 2007

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

SVP/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 3

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

• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pontiac, IL
  • NPI 1053468553
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Macomb, IL
  • NPI 1780731281
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Peoria, IL
  • NPI 1801943832
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel L Syverson, DPM

  • Primary Podiatric Medicine Podiatrist
  • Roscoe, IL
  • NPI 1336208842
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1336291343",
    "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": "1111 S ALPINE RD STE 401",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083940",
            "telephone_number": "815-387-8390",
            "fax_number": "815-387-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "402-896-3884"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Morrison, PHARM.D.
• Michelle Katherine Morrison, MS, CCC-SLP
• Amanda Soraya Morrow, DPT
• Morsay Physical Medicine Center LTD.
• James Vincent Morse, P.T.A.
• Mosaic Counseling Services, Inc
• Laura Moski, LCSW
• Thomas Ryan Moss, DDS
• Lorri Jo Mostad, APN
• Motivate Health Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.