Active NPI
Mosaic
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
National Provider Identifier
1881746725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 770792
- Legal business name
- MOSAIC
- Practice address
- 2900 Francis Drive
Des Moines, IA 50310-0000 - Phone
- (515) 246-1840
- Fax
- (515) 246-8236
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Scott Hoffman
- Title
- Senior VP & Chief Financial Officer
- Phone
- (402) 896-3884
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual Disabilities Intermediate Care Facility
- Forest City, IA
- NPI 1710253687
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1710620307
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1720130669
-
- Intellectual Disabilities Intermediate Care Facility
- Denison, IA
- NPI 1730231663
-
- Intellectual Disabilities Intermediate Care Facility
- Forest City, IA
- NPI 1730455601
-
- Intellectual Disabilities Intermediate Care Facility
- Denison, IA
- NPI 1740332667
-
- Intellectual Disabilities Intermediate Care Facility
- Osceola, IA
- NPI 1750438461
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1811631369
-
- Mental Illness Community Based Residential Treatment Facility
- Forest City, IA
- NPI 1821616632
-
- Intellectual Disabilities Intermediate Care Facility
- Logan, IA
- NPI 1831246552
-
- Intellectual Disabilities Intermediate Care Facility
- Belmond, IA
- NPI 1831465715
-
- Intellectual Disabilities Intermediate Care Facility
- Nevada, IA
- NPI 1851666820
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 770792 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2900 Francis Drive
Des Moines, IA 50310-0000
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0881888 | Medicaid | IA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2020.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1881746725",
"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": "2900 FRANCIS DRIVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503100000",
"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": "2020-06-11",
"certification_date": "2020-06-11",
"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": "770792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0881888",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.