MOSAIC (NPI# 1639226640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639226640 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
2708 N 11th St Garden City KS 67846-2714 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2220 |
| Practice Telephone | 6202759180 |
| Practice Fax Number | 6202752565 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2007-01-04 |
| 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 |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
KS | Nursing Service Related Providers | |
| N | 251B00000X | Case Management | KS | Agencies | |
| N | 251B00000X | Case Management | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | KS | Transportation Services | |
| N | 251E00000X | Home Health | KS | Agencies | |
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200329400L | 05 | |
| KS | TARG CASE MGMT | 100008340A | 01 |
| KS | 200329400B | 05 | |
| KS | AGENCY RENDERING SVC # | 200329400A | 01 |
| 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 |
2708 N 11TH ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265524 | Ease-e Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2708 N 11th St, Garden City, KS 67846-2714 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376698530 | Anita Motto LLC | Day Training, Developmentally Disabled Services | 2210 N Mohawk Dr, Garden City, KS 67846-3836 | 2007-01-25 |
| 1649350224 | Rescare Kansas, Inc. | Day Training, Developmentally Disabled Services | 2102 E Spruce St, Garden City, KS 67846-6362 | 2006-10-17 |
| 1952442873 | Life's Worc | Day Training, Developmentally Disabled Services | 1501 Franklin Ave, Garden City, NY 11530-8165 | 2007-02-12 |
| 1710028055 | Life's Worc | Day Training, Developmentally Disabled Services | 1501 Franklin Ave, Garden City, NY 11553 | 2007-02-09 |
| 1588680730 | Sunflower Special Services, Inc | Day Training, Developmentally Disabled Services | 2925 E Mary St, Garden City, KS 67846-9275 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442229 | Guardian Angels Adult Care Services | Day Training, Developmentally Disabled Services | 717 S Chestnut St, Pittsburg, KS 66762-4935 | 2020-03-19 |
| 1194360966 | Winning Out Loud LLC | Day Training, Developmentally Disabled Services | 2620 E 21st St N, Wichita, KS 67214-2248 | 2019-11-15 |
| 1760034714 | Sgs Connections | Day Training, Developmentally Disabled Services | 832 New Jersey Ave, Holton, KS 66436-1956 | 2019-07-10 |
| 1558923623 | Sgs Connections | Day Training, Developmentally Disabled Services | 513 Vermont Ave, Holton, KS 66436-2035 | 2019-06-28 |
| 1356900286 | Residential Treatment Services of Southeast Kansas, LLC | Day Training, Developmentally Disabled Services | 4919 Main St., Parsons, KS 67357-1174 | 2019-06-13 |
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1932603727 | Christina Marie Stejskal | Day Training, Developmentally Disabled Services | 1340b 280th Ave, Hays, KS 67601-9753 | 2018-03-19 |
| 1659889095 | Peggy Sue Arias | Day Training, Developmentally Disabled Services | 1313 E 30th St, Hays, KS 67601-2015 | 2018-01-19 |
| 1669980751 | Happy Hearts Working Incorporated | Day Training, Developmentally Disabled Services | 15091 158th St, Bonner Springs, KS 66012-7798 | 2018-01-11 |
| 1407388333 | Erick Ogwangi | Day Training, Developmentally Disabled Services | 3200 Haskell Ave, Lawrence, KS 66046-8974 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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.