Active NPI
Mosaic
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denison, IA
National Provider Identifier
1649322579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- MOSAIC
- Practice address
- 1402 Settlers LN
Denison, IA 51442-1132 - Phone
- (712) 644-2234
- Fax
- (712) 644-3501
- NPI assigned
- Jan 18, 2007
- Last updated
- Dec 31, 2024
- 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
- Chief Financial Officer
- Phone
- (402) 896-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IA | Primary |
Addresses
Primary practice location
1402 Settlers LN
Denison, IA 51442-1132
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439919 | Medicaid | IA |
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 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 Disabilities Intermediate Care Facility
- Nevada, IA
- NPI 1629344510
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1659015295
Locations
715 N 2nd Ave
Logan, IA 51546
Phone (712) 644-2778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1649322579",
"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": "1402 SETTLERS LN",
"city": "DENISON",
"state": "IA",
"postal_code": "514421132",
"telephone_number": "712-644-2234",
"fax_number": "712-644-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "402-896-3884"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439919",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.