Active NPI
Mosaic
- Intellectual Disabilities Intermediate Care Facility
- Nevada, IA
National Provider Identifier
1629344510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- MOSAIC
- Practice address
- 217 Maple Ave
Nevada, IA 50201 - Phone
- (641) 585-5451
- NPI assigned
- Mar 26, 2012
- Last updated
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
217 Maple Ave
Nevada, IA 50201
Mailing address
11141 Aurora
Urbandale, IA 50322
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Forest City, IA
- NPI 1366718298
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1417009358
-
- Intellectual Disabilities Intermediate Care Facility
- West Des Moines, IA
- NPI 1427100361
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1447302385
-
- Intellectual Disabilities Intermediate Care Facility
- Forest City, IA
- NPI 1487920351
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1508918442
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1528110467
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1538211479
-
- Mental Illness Community Based Residential Treatment Facility
- Denison, IA
- NPI 1558402271
-
- Adult Care Home Facility
- Logan, IA
- NPI 1568514487
-
- Intellectual Disabilities Intermediate Care Facility
- Nevada, IA
- NPI 1629344502
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denison, IA
- NPI 1649322579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1629344510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11141 AURORA",
"city": "URBANDALE",
"state": "IA",
"postal_code": "50322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 MAPLE AVE",
"city": "NEVADA",
"state": "IA",
"postal_code": "50201",
"telephone_number": "641-585-5451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-26",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada, IA
Sources for this page
- 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.