Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

770991 Issued in IA

Legal business name

MOSAIC

Practice address

3114 E 42ND Street
Des Moines, IA 50317-1762

Phone

(515) 246-1840

Fax

(515) 246-8236

NPI assigned

Jan 18, 2007

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Hoffman

Title

Senior VP & Chief Financial Officer

Phone

(402) 896-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Denison, IA
  • NPI 1558402271
  NPD tax ID
• Mosaic

  • Adult Care Home Facility
  • Logan, IA
  • NPI 1568514487
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Nevada, IA
  • NPI 1629344502
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Nevada, IA
  • NPI 1629344510
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Denison, IA
  • NPI 1649322579
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1659015295
  NPD tax ID
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Logan, IA
  • NPI 1659423572
  NPD tax ID
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Urbandale, IA
  • NPI 1669016457
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1699827535
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Forest City, IA
  • NPI 1710253687
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1710620307
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Denison, IA
  • NPI 1730231663
  NPD tax ID

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1720130669",
    "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": "3114 E 42ND STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503171762",
            "telephone_number": "515-246-1840",
            "fax_number": "515-246-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SENIOR VP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "402-896-3884"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "770991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881979",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic
• Mosaic

• Intellectual Disabilities Intermediate Care Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Intellectual Disabilities Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.