Organization Active NPI

Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Urbandale, IA
National Provider Identifier
1669016457
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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
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.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.