Mosaic

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

200264 Issued in IA

Legal business name

MOSAIC

Practice address

517 East Ayers
Osceola, IA 50213-0000

Phone

(641) 342-6015

Fax

(641) 342-7281

NPI assigned

Jan 5, 2007

Last updated

Jun 11, 2020By the provider in NPPES

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 Financial Officer

Phone

(402) 896-3884

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

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
  • Forest City, IA
  • NPI 1821616632
  NPD tax ID
• Mosaic

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

  • Intellectual Disabilities Intermediate Care Facility
  • Belmond, IA
  • NPI 1831465715
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Nevada, IA
  • NPI 1851666820
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1881746725
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Pleasant Hill, IA
  • NPI 1902540453
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Pleasant Hill, IA
  • NPI 1912648411
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1922742501
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Osceola, IA
  • NPI 1942357546
  NPD tax ID
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Forest City, IA
  • NPI 1942575972
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Clarion, IA
  • NPI 1952676926
  NPD tax ID
• Mosaic

  • Intellectual Disabilities Intermediate Care Facility
  • Des Moines, IA
  • NPI 1962554808
  NPD tax ID

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1972650471",
    "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": "517 EAST AYERS",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502130000",
            "telephone_number": "641-342-6015",
            "fax_number": "641-342-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "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": "200264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882043",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Lynne Martin, ARNP
• Jessica A. McCullen, O.D.
• Mosaic
• Mosaic
• Mosaic
• Kelly L Nephew, DNP, FNP-BC, CME
• Debra Kay Neuharth, PHARM.D., D.O.
• Kristine A Oksendahl, RD,LD
• Osceola Cab, LLC.
• Osceola Dental Care of Iowa, PC

• Intellectual Disabilities Intermediate Care Facility in Osceola, IA
• Providers in Osceola, 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 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.

Verify at the official NPI Registry.