MOSAIC (NPI# 1053463992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053463992 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
1609 Cummins Parkway Des Moines IA 50311-0000 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2220 |
| Practice Telephone | 5152461840 |
| Practice Fax Number | 5152468236 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | SCOTT HOFFMAN (SENIOR VP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4028963884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 770674 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0881953 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
| 1487952297 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2000 W Park Ave, Norfolk, NE 68701-4701 | 2011-03-02 |
| 1790003614 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1517 Hope St, Grand Island, NE 68801-7101 | 2010-05-17 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| 1982922803 | Mosaic | Intermediate Care Facility, Mentally Retarded | 5806 S 147th St, Omaha, NE 68137-2538 | 2010-05-17 |
| 1609194521 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1433 Grandview Ave, Papillion, NE 68046-5754 | 2010-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC | 4980 S 118th St, Omaha, NE 68137-2200 |
| Washington State Corporations | MOSAIC | 1571 Hemlock Dr, Oak Harbor, WA 98277 |
| Colorado Business Entities | MOSAIC | 17020 E. 104th Place, Commerce City, CO 80022 |
| Oregon Corporations, Companies and Business Names | MOSAIC | 662 W 25th Pl, Eugene, OR 97405 |
| Oklahoma Business Registrations | MOSAIC | 4980 S 118th St, Omaha, NE 68137 |
| Indiana Business Entities | MOSAIC | 4980 S. 118th Street, Omaha, NE 68137-2220 |
| Oregon Corporations, Companies and Business Names | MOSAIC & TILE INSTALLATION | 4485 Great Plains Dr Ne, Salem, OR 97305 |
| New York State Corporations | MOSAIC 227 ENTERPRISES, LLC | Clifford H Greene & Associates, 467 North Avenue, New Rochelle, Ny 10801 |
| Oregon Corporations, Companies and Business Names | MOSAIC 331 | 331 Main Street, Springfield, OR 97477 |
| Washington State Corporations | MOSAIC 3RD SECTOR CONSULTING, LLC | 1203 S 223rd St, Des Moines, WA 98198-4529 |
| Street Address |
1609 CUMMINS PARKWAY |
| City | DES MOINES |
| State | IA |
| Zip Code | 50311-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517986 | Gina Nichols | Technician | 1529 61st St, Des Moines, IA 50311 | 2019-09-17 |
| 1841429990 | Joann E Lambert | Counselor | 4900 University Ave Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1609005750 | Michael L Hopkins | Psychologist | 4900 University Ave, Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1598971491 | Dennis P O'meara | Dentist | 1000 73rd St., Suite 7, Des Moines, IA 50311 | 2007-05-15 |
| 1093877979 | Drs Work and Carlson PC | Dentist | 1145 66th St, Des Moines, IA 50311 | 2006-12-15 |
| 1427128370 | Daniel Phillip Bartlett | Dentist | 1000 73rd St Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1710057096 | Randall James Ruisch | Dentist | 1000 73rd St., Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1053407569 | Robert C. Margeas | Dentist | 1233 63rd St., Des Moines, IA 50311 | 2006-10-04 |
| 1356434872 | Mary Susan Knapp | Social Worker | 6957 University Ave., Windsor Heights, IA 50311 | 2006-10-02 |
| 1598877755 | O'meara Dental | Dentist | 1000 73rd Street, Suite 7, Des Moines, IA 50311 | 2006-08-31 |
| Find all providers in zip 50311 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245372077 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 7109 Douglas Ave, Des Moines, IA 50322-3201 | 2007-02-12 |
| 1487795449 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 3610 42nd St, Des Moines, IA 50310-4158 | 2007-02-10 |
| 1144372087 | Mosaic | Intermediate Care Facility, Mentally Retarded | 404 Sw Rose, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1699827535 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1502 Mattern, Des Moines, IA 50316-0000 | 2007-01-18 |
| 1447302385 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1501 Sw Lewis, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1508918442 | Mosaic | Intermediate Care Facility, Mentally Retarded | 505 Sw Leland, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1245382183 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1429 Sw Payton, Des Moines, IA 50315-0000 | 2007-01-18 |
| 1174675011 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1231 40th Street, Des Moines, IA 50311-0000 | 2007-01-18 |
| 1972655819 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2317 Vine Street, Des Moines, IA 50265-0000 | 2007-01-18 |
| 1336291277 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2515 East Tiffin, Des Moines, IA 50317-0000 | 2007-01-18 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50311 |
Please comment or provide details below to improve the information on MOSAIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.