Active NPI
Mosaic
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Osceola, IA
National Provider Identifier
1942357546
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
- 209 W Washington St
Osceola, IA 50213-1249 - Phone
- (641) 342-6015
- Fax
- (641) 342-7281
- NPI assigned
- Jan 4, 2007
- Last updated
- Jan 18, 2024
- 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
- Senior VP & Chief Financial Officer
- Phone
- (402) 896-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IA | Primary |
Addresses
Primary practice location
209 W Washington St
Osceola, IA 50213-1249
Mailing address
4980 S 118TH St
Omaha, NE 68137-2220
Phone (402) 896-3884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0441410 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
Organizations with this tax ID in the same state 18
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 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
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1881746725
-
- Intellectual Disabilities Intermediate Care Facility
- Pleasant Hill, IA
- NPI 1902540453
-
- Intellectual Disabilities Intermediate Care Facility
- Pleasant Hill, IA
- NPI 1912648411
-
- Intellectual Disabilities Intermediate Care Facility
- Des Moines, IA
- NPI 1922742501
Locations
730 S Main St
Osceola, IA 50213
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": "1705536000000",
"number": "1942357546",
"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": "209 W WASHINGTON ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131249",
"telephone_number": "641-342-6015",
"fax_number": "641-342-7281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"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": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0441410",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.