Active NPI
Mosaic
- Mental Illness Community Based Residential Treatment Facility
- Urbandale, IA
National Provider Identifier
1669016457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MOSAIC
- Practice address
- 11141 Aurora Ave BLDG 3
Urbandale, IA 50322-7904 - Phone
- (515) 246-1840
- Fax
- (515) 246-8236
- NPI assigned
- Nov 5, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Scott Hoffman
- Title
- Sr VP & Chief Financial Officer
- Phone
- (402) 896-3884
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
- 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 and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denison, IA
- NPI 1649322579
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1659015295
-
- Mental Illness Community Based Residential Treatment Facility
- Logan, IA
- NPI 1659423572
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1699827535
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11141 Aurora Ave BLDG 3
Urbandale, IA 50322-7904
Mailing address
4980 S 118TH St
Omaha, NE 68137-2200
Phone (402) 896-5827
Other names 1
NPPES NPI Registry- Mosaic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2024.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1669016457",
"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": "681372200",
"telephone_number": "402-896-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11141 AURORA AVE BLDG 3",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503227904",
"telephone_number": "515-246-1840",
"fax_number": "515-246-8236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-05",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "SR VP & CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "402-896-3884"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mosaic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mosaic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.