NPIMap

Organization Active NPI

Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Omaha, NE
National Provider Identifier
1467648725
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MOSAIC
Practice address
13919 S PLZ
Omaha, NE 68137-2916
Phone
(402) 896-9988
Fax
(402) 896-6111
NPI assigned
Sep 20, 2007
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelli Powell
Title
Internal Audit Director
Phone
(402) 698-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NE Primary

Addresses

Primary practice location

13919 S PLZ
Omaha, NE 68137-2916

Mailing address

4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884

Other practice location 1

3206 Raasch Dr
Norfolk, NE 68701-3175
Phone (402) 379-3888

Other practice location 2

5631 S 48th St Ste 500
Lincoln, NE 68516-4137
Phone (402) 477-2101 ext. 40247

Other practice location 3

210 E 8th St Ste B
Fremont, NE 68025-5189
Phone (402) 753-0671

Other practice location 4

1263 E 25th St
suite 1
columbus, NE 68601
Phone (402) 564-8212

Other practice location 5

220 W South 21st St
York, NE 68467-9316
Phone (402) 362-2180

Other practice location 6

302 West Ave
Holdrege, NE 68949-2721
Phone (308) 995-8652

Other practice location 7

2715 9th Ave
Kearney, NE 68845-4335
Phone (308) 381-1690

Other practice location 8

720 W F St
Hastings, NE 68901-6036
Phone (402) 463-0518

Other practice location 9

821 W Oklahoma Ave Ste 2
Grand Island, NE 68801-6781
Phone (308) 381-1690

Other identifiers 3

IdentifierTypeStateIssuer
CDD187MedicaidNE
CDD186MedicaidNE
CDD185MedicaidNE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2056159Mosaic3206 Raasch Dr Ste 300, Norfolk, NE 68701Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mosaic99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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
    • Omaha, NE
    • NPI 1073831996
    NPD tax ID
  • Mosaic
    • Mental Illness Intermediate Care Facility
    • Beatrice, NE
    • NPI 1386867901
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • York, NE
    • NPI 1417275546
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Norfolk, NE
    • NPI 1487952297
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Papillion, NE
    • NPI 1609194521
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Grand Island, NE
    • NPI 1720273386
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Grand Island, NE
    • NPI 1790003614
    NPD tax ID
  • Mosaic
    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Omaha, NE
    • NPI 1922271824
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Axtell, NE
    • NPI 1972706885
    NPD tax ID
  • Mosaic
    • Intellectual Disabilities Intermediate Care Facility
    • Omaha, NE
    • NPI 1982922803
    NPD tax ID
  • Mosaic Inc
    • Day Training/Habilitation Specialist
    • Gretna, NE
    • NPI 1861657249
    NPD tax ID
  • Mosiac

    dba Mosaic

    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Axtell, NE
    • NPI 1932714813
    NPD tax ID

Locations

1263 25th Ave
Ste 1
Columbus, NE 68601
Phone (402) 564-8212

210 E 8th St
Ste B
Fremont, NE 68025
Phone (402) 317-1309

2846 Old Fair Rd
Grand Island, NE 68803
Phone (308) 381-1690

821 W Oklahoma Ave
Ste 2
Grand Island, NE 68801
Phone (308) 381-1690

302 West Ave
Holdrege, NE 68949
Phone (308) 995-8652

2715 9th Ave
Kearney, NE 68845
Phone (308) 381-1690

5631 S 48th St
Ste 500
Lincoln, NE 68516
Phone (402) 477-2101

3206 Raasch Dr
Norfolk, NE 68701
Phone (402) 379-3888

10011 J St
Omaha, NE 68127

13919 S Plz
Omaha, NE 68137
Phone (402) 698-9812

220 W South 21st St
York, NE 68467
Phone (308) 381-1690

Practitioners & affiliated clinicians

Practitioners 259

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 259

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1467648725",
    "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": "13919 S PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372916",
            "telephone_number": "402-896-9988",
            "fax_number": "402-896-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3206 Raasch Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687013175",
            "country_code": "US",
            "telephone_number": "402-379-3888",
            "fax_number": "402-379-8478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5631 S 48th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685164137",
            "country_code": "US",
            "telephone_number": "402-477-2101 x40247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E 8th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680255189",
            "country_code": "US",
            "telephone_number": "402-753-0671",
            "fax_number": "402-727-7667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 E 25th St",
            "address_2": "suite 1",
            "address_purpose": "LOCATION",
            "city": "columbus",
            "state": "NE",
            "postal_code": "68601",
            "country_code": "US",
            "telephone_number": "402-564-8212",
            "fax_number": "402-562-8428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W South 21st St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684679316",
            "country_code": "US",
            "telephone_number": "402-362-2180",
            "fax_number": "402-362-2961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 West Ave",
            "address_purpose": "LOCATION",
            "city": "Holdrege",
            "state": "NE",
            "postal_code": "689492721",
            "country_code": "US",
            "telephone_number": "308-995-8652",
            "fax_number": "308-995-5226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688454335",
            "country_code": "US",
            "telephone_number": "308-381-1690",
            "fax_number": "308-381-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 W F St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689016036",
            "country_code": "US",
            "telephone_number": "402-463-0518",
            "fax_number": "402-834-3745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 W Oklahoma Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688016781",
            "country_code": "US",
            "telephone_number": "308-381-1690",
            "fax_number": "308-381-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "INTERNAL AUDIT DIRECTOR",
        "authorized_official_telephone_number": "402-698-9812"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDD187",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDD186",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDD185",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.