MOSAIC


Address: 11141 Aurora Ave, Urbandale, IA 50322-0000
Phone: 5152461840

MOSAIC (NPI# 1972655991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972655991
Entity Type Organization
Organization Name MOSAIC
Practice Address 11141 Aurora Ave
Urbandale
IA 50322-0000
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities IA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0294926 05

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 11141 AURORA AVE
City URBANDALE
State IA
Zip Code 50322-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669016457 Mosaic Community Based Residential Treatment Facility, Mental Illness 11141 Aurora Ave, Urbandale, IA 50322-7904 2019-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598278434 Mary Melissa Buchanan Hospice Care, Community Based 6101 Goodman Dr, Urbandale, IA 50322 2017-11-14
1932629110 Kelsey Coaldrake Speech-Language Pathologist 2570 106th St Ste E, Urbandale, IA 50322 2017-06-20
1861940207 Jessalynn Bradley Home Health Aide 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 2016-09-14
1083086862 Iowa Dermatology Clinic, Plc Dermatology 3729 86th St, Urbandale, IA 50322 2015-10-20
1598134686 Iowa Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 14201 Hickman Rd., Urbandale, IA 50322 2015-09-18
1114303484 Monique I Elgersma Marriage & Family Therapist 3829 71st St Ste A, Urbandale, IA 50322 2015-08-10
1821437922 Maggie Lynn Leavens Physical Therapy Assistant 4614 84th Street, Urbandale, IA 50322 2013-06-21
1225378581 Nicholas David Burton Lantz Physical Therapy Assistant 4614 Nw 84th Street, Urbandale, IA 50322 2013-02-25
1750645826 Joseph Horn Thompson Pharmacist 9616 Quail Ridge, Urbandale, IA 50322 2012-07-03
1437481827 Community Support Advocates, LLC Social Worker 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 2010-02-10
Find all providers in zip 50322

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306115365 Community Living Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8517 Airline Ave, Urbandale, IA 50322-2317 2011-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063040111 Ability United LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 102 N Adams St, Carroll, IA 51401-2821 2020-04-01
1881045706 Golden Touch Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7618 Hickman Rd, Windsor Heights, IA 50324-4510 2016-06-22
1518302801 The Phoenix Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 2013-05-01
1720331739 The Collaborative Adult Relationship Experiences Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2649 Avenue B, Council Bluffs, IA 51501-2105 2012-10-16
1407115645 Anchor Homes, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 501 N 15th St, Clarinda, IA 51632-1632 2012-05-09
1033414826 Tandem Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2901 Douglas Ave Ste D2, Des Moines, IA 50310-5804 2011-01-25
1720284524 Comprehensive Systems, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1700 Clark Street, Charles City, IA 50616-0457 2007-06-27
1174658637 Crossroads Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1424 Houser St, Muscatine, IA 52761-2235 2007-02-23
1265578439 Discovery Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 220 Northland Ct Ne, Cedar Rapids, IA 52402-6226 2007-01-29
1619023488 Link Associates Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1452 29th St, West Des Moines, IA 50266-1306 2007-01-26
Find all providers with the same taxonomy

Competitor

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City URBANDALE
Zip Code 50322

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Dataset Information

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.

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