MOSAIC (NPI# 1710253687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710253687 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
105 Kellys Ct Forest City IA 50436-2245 |
| Mailing Address |
905 S Hwy 69 Forest City IA 50436-0000 |
| Practice Telephone | 6415855451 |
| Enumeration Date | 2012-03-26 |
| 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 | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 1417275546 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2215 Meadow Lark Ln, York, NE 68467-1021 | 2010-05-13 |
| 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 |
105 KELLYS CT |
| City | FOREST CITY |
| State | IA |
| Zip Code | 50436-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832628 | Robin Frances Charlson | Physical Therapist | 1144 Hwy 69 N, Area Education Agency 267, Forest City, IA 50436 | 2007-05-18 |
| 1700975422 | Laila A Buck | Dentist | 132 East J Street, Forest City, IA 50436 | 2006-10-12 |
| 1346334984 | James Lee Brockhohn | Chiropractor | 245 North Clark Street, Forest City, IA 50436 | 2006-10-03 |
| 1376585380 | Twyla D. Ostercamp | Family Medicine | 635 East Hwy 9, Forest City, IA 50436 | 2006-06-12 |
| 1144274440 | County of Winnebago | Public Health or Welfare | 216 South 4th Street, Forest City, IA 50436 | 2006-05-20 |
| 1699987586 | Forest Plaza Assisted Living | Assisted Living Facility | 635 Highway 9 East, Forest City, IA 50436 | 2007-05-04 |
| 1497862072 | Pamela E Keller | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1447368170 | Timothy L Ackarman | Physician Assistant | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-25 |
| 1548377120 | Byron H Carlson | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1851344352 | Shopko Stores Operating Co LLC | Pharmacy | 616 E Us Highway 9, Forest City, IA 50436-1012 | 2006-05-18 |
| Find all providers in zip 50436 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1659491645 | Voca Corporation of North Carolina, Inc. | Intermediate Care Facility, Mentally Retarded | 297 Bob Rollins Rd, Forest City, NC 28043-3147 | 2007-03-31 |
| 1295001162 | Mosaic | Intermediate Care Facility, Mentally Retarded | 101 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1093081960 | Mosaic | Intermediate Care Facility, Mentally Retarded | 138 Indian Ave, Forest City, IA 50436-2321 | 2012-03-26 |
| 1730455601 | Mosaic | Intermediate Care Facility, Mentally Retarded | 825 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 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 |
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| 1215061197 | Hope Haven Area Development Center Corporation | Intermediate Care Facility, Mentally Retarded | 1901 Racine Ave, Burlington, IA 52601-2246 | 2007-03-15 |
| 1710022421 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 6225 Morningside Drive, Johnston, IA 50131 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | FOREST CITY |
| Zip Code | 50436 |
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.