Mosaic

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MOSAIC

Practice address

2120 E 9TH Ave
Winfield, KS 67156-3318

Phone

(620) 229-8702

Fax

(620) 229-8760

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Jeri Sole

Title

Director of Billing

Phone

(402) 896-5827

Specialties & licenses 5

Addresses

Other identifiers 3

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Liberal, KS
  • NPI 1053468165
  NPD tax ID
• Mosaic

  • Developmentally Disabled Services Day Training Agency
  • Ellsworth, KS
  • NPI 1366594368
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pittsburg, KS
  • NPI 1477863488
  NPD tax ID
• Mosaic

  • Personal Care Attendant
  • Garden City, KS
  • NPI 1639226640
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Leawood, KS
  • NPI 1851448872
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bal K Sharma, MD

  • Psychiatry Physician
  • Wellington, KS
  • NPI 1851352470
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1669524666",
    "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": "2120 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563318",
            "telephone_number": "620-229-8702",
            "fax_number": "620-229-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SOLE",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "402-896-5827"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEMT",
            "identifier": "200329400 J",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS RESIDENTIAL",
            "identifier": "200329400D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TCM",
            "identifier": "200329400C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas William Moore, D.O.
• Jaryd W Moore, DC
• Julie Ann Moreland, M.S., LMLP
• Kristina K Morin, PTA
• Christopher Aaron Morrissey, DO
• Motion Focused Podiatry LLC
• Sarah Muret, APRN
• Steven D Newsome, CRNA
• Angela E Norton, R.PH.
• Demetrice Ogundu

• Developmentally Disabled Services Day Training Agency in Winfield, KS
• Providers in Winfield, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.