Active NPI
Mosaic
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Leawood, KS
National Provider Identifier
1851448872
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
- 5440 W 110TH St Ste 300
Leawood, KS 66211-1221 - Phone
- (913) 788-8400
- Fax
- (913) 788-2257
- NPI assigned
- Jan 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | KS | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
5440 W 110TH St Ste 300
Leawood, KS 66211-1221
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100008300A | Other | KS | KCDS |
| 100260930A | Other | KS | WYANDOTTE COUNTY CDDO |
| 200329400O | Medicaid | KS | |
| 200329400N | Medicaid | KS |
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Liberal, KS
- NPI 1053468165
-
- Developmentally Disabled Services Day Training Agency
- Ellsworth, KS
- NPI 1366594368
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pittsburg, KS
- NPI 1477863488
-
- Personal Care Attendant
- Garden City, KS
- NPI 1639226640
-
- Developmentally Disabled Services Day Training Agency
- Winfield, KS
- NPI 1669524666
Locations
8047 Parallel Pkwy
Ste 9
Kansas City, KS 66112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1851448872",
"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": "5440 W 110TH ST STE 300",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111221",
"telephone_number": "913-788-8400",
"fax_number": "913-788-2257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"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": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "KS",
"license": null,
"primary": false
},
{
"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
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KCDS",
"identifier": "100008300A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYANDOTTE COUNTY CDDO",
"identifier": "100260930A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200329400O",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200329400N",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.