Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MOSAIC

Practice address

315 Country Club Dr
Belmond, IA 50421-1740

Phone

(641) 585-5451

NPI assigned

Mar 26, 2012

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 Officer

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 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
  • 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
  • Des Moines, IA
  • NPI 1720130669
  NPD tax ID
• Mosaic

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

  • Intellectual Disabilities Intermediate Care Facility
  • Forest City, IA
  • NPI 1730455601
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Denison, IA
  • NPI 1740332667
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Osceola, IA
  • NPI 1750438461
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1811631369
  NPD tax ID
• Mosaic

  • Mental Illness Community Based Residential Treatment Facility
  • Forest City, IA
  • NPI 1821616632
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Logan, IA
  • NPI 1831246552
  NPD tax ID

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1831465715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504362132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COUNTRY CLUB DR",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211740",
            "telephone_number": "641-585-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SENIOR VP & CHIEF OFFICER",
        "authorized_official_telephone_number": "402-896-3884"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kunkel, CADC
• Elizabeth Maynes, LMSW
• Matthew D McBride, PA
• Christopher Medvec
• Alexis Avril Morgan
• Lynn Marvin Nelson, MD
• Aspen Storme Olsen, LMSW
• Perry Alan Parks, D.C.
• Carrie Potter, ARNP
• Fawn J Roberts, ARNP

• Intellectual Disabilities Intermediate Care Facility in Belmond, IA
• Providers in Belmond, 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 Jun 8, 2021; 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.