Mosaic

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Osceola, IA

NPI 1750438461 · NPPES record last updated Jun 11, 2020

Key facts

NPI
1750438461
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
200262 (IA)
Legal business name
MOSAIC
Practice address
209 East MC Lane
Osceola, IA 50213-0000
Phone
(641) 342-6015
Fax
(641) 342-7281
NPI assigned
Jan 4, 2007
Organization subpart
No

Authorized official

Name
Scott Hoffman
Title
Senior VP & Chief Financial Officer
Phone
(402) 896-3884

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 200262 IA Yes

Addresses

Primary practice location

209 East MC Lane
Osceola, IA 50213-0000

Mailing address

4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884

Other identifiers

IdentifierTypeStateIssuer
0882050MedicaidIA

Other providers in Osceola, IA

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

Sources for this page

Verify at the official NPI Registry.