Mosaic

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MOSAIC

Practice address

302 Post Office St
Bryan, TX 77801-2141

Phone

(979) 823-7622

Fax

(979) 775-5733

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dean Wilson

Title

VP Accounting

Phone

(402) 896-3884

Specialties & licenses 1

Addresses

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
  • Live Oak, TX
  • NPI 1306984398
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waco, TX
  • NPI 1700924701
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Corsicana, TX
  • NPI 1730227786
  NPD tax ID
• Mosaic

  • Child Physical Disabilities Respite Care
  • San Angelo, TX
  • NPI 1821136813
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Carrollton, TX
  • NPI 1851439947
  NPD tax ID

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720126725",
    "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": "302 POST OFFICE ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778012141",
            "telephone_number": "979-823-7622",
            "fax_number": "979-775-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "VP ACCOUNTING",
        "authorized_official_telephone_number": "402-896-3884"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Morgan
• Richard Greenlee Morgan, MD
• Jerzy Jozef Morkowski, M.D., PH.D.
• Nathan Earl Morris, FNP-C
• Patsy Morse
• Suzette Moser, CCC/SLP
• Taliyah Mosley
• Jennifer Mosqueda, PTA
• Carmen Mota, LPC
• MRC Crestview

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bryan, TX
• Providers in Bryan, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.