Mosaic

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Des Moines, IA

NPI 1710620307 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1710620307
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
MOSAIC
Practice address
2542 E Marion St
Des Moines, IA 50320-2676
Phone
(402) 896-5827
Fax
(402) 894-4780
NPI assigned
Apr 20, 2022
Organization subpart
No

Authorized official

Name
Jeri Sole
Title
Director of Payer Relations
Phone
(402) 968-1974

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mosaic (99 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

2542 E Marion St
Des Moines, IA 50320-2676

Mailing address

4980 S 118TH St
Omaha, NE 68137-2200
Phone (402) 968-1974

Other providers in Des Moines, IA

All providers in Des Moines, IA · Intellectual Disabilities Intermediate Care Facility in Iowa

Sources for this page

Verify at the official NPI Registry.