Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

770852 Issued in IA

Legal business name

MOSAIC

Practice address

1501 SW Lewis
Des Moines, IA 50315-0000

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 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 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
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Forest City, IA
  • NPI 1306112271
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1326190265
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1336291277
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1336882968
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Forest City, IA
  • NPI 1366718298
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1417009358
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • West Des Moines, IA
  • NPI 1427100361
  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": "1447302385",
    "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": "1501 SW LEWIS",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503150000",
            "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": "770852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881797",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.