Mosaic

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MOSAIC

Doing business as

Mosaic of the Southwest

Practice address

2929 N 44TH St Ste 300
Phoenix, AZ 85018-7278

Phone

(602) 864-6030

Fax

(602) 864-1513

NPI assigned

Mar 25, 2024

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 and Chief Financial Offic

Phone

(402) 896-3884

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mosaic of the Southwest Doing business as

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1982454609",
    "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": "681372200",
            "telephone_number": "402-698-9812",
            "fax_number": "402-896-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N 44TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187278",
            "telephone_number": "602-864-6030",
            "fax_number": "602-864-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SENIOR VP AND CHIEF FINANCIAL OFFIC",
        "authorized_official_telephone_number": "402-896-3884"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866668",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDD704011",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic of the Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Lynne Morton, LPN
• Peter M Morton
• Scott Morton, MD
• Shannon Morton, RBT
• Cristina M.G. Morue, MC, LPC, NCC
• Keikhosrow Mosallaie, DO
• Mosc, LLC
• Justinne Taylor Moschetti, MS
• Elvira Mosely, RN
• Barbara Moser, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.