Active NPI
Mosaic
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Grand Junction, CO
National Provider Identifier
1760605398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- MOSAIC
- Practice address
- 734 Main St
Grand Junction, CO 81501-3598 - Phone
- (970) 245-0519
- Fax
- (970) 241-3526
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Hoffman
- Title
- Chief Financial Officer
- Phone
- (402) 896-3884
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
734 Main St
Grand Junction, CO 81501-3598
Mailing address
4980 S 118TH St
Omana, NE 68137-2220
Phone (402) 896-3884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000143330 | Medicaid | CO | |
| 22952756 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Collins, CO
- NPI 1497970008
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denver, CO
- NPI 1518182120
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Colorado Springs, CO
- NPI 1841413374
Locations
571 25 Rd
Grand Junction, CO 81505
734 Main St
Grand Junction, CO 81501
Phone (970) 245-0519
2456 Industrial Blvd
Grand Junction, CO 81505
Phone (636) 698-8985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1760605398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 S 118TH ST",
"city": "OMANA",
"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": "734 MAIN ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013598",
"telephone_number": "970-245-0519",
"fax_number": "970-241-3526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "402-896-3884"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000143330",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22952756",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.