MOSAIC (NPI# 1073831996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073831996 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
2814 S 169 St Omaha NE 68116 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2200 |
| Practice Telephone | 4028963884 |
| Mailing Telephone | 4028963884 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | JERI SOLE (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 4028965827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NE | 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 |
| 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 |
| 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 |
2814 S 169 ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
| 1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
| 1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
| 1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
| 1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
| 1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
| 1780823542 | Eun Jin Yi | Registered Nurse | 15353 Locust St, Omaha, NE 68116 | 2009-02-18 |
| Find all providers in zip 68116 | ||||
| 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 |
|---|---|---|---|---|
| 1982922803 | Mosaic | Intermediate Care Facility, Mentally Retarded | 5806 S 147th St, Omaha, NE 68137-2538 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1720273386 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2915 W Faidley Ave, Grand Island, NE 68803-4108 | 2007-09-07 |
| 1972706885 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1044 23rd Rd, Axtell, NE 68924-3679 | 2007-06-07 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1215383120 | Beatrice State Developmental Center | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2016-05-10 |
| 1124452800 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Lake Street, Beatrice, NE 68310-3319 | 2013-08-29 |
| 1043503733 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Sheridan Cottages, Beatrice, NE 68310-3319 | 2011-05-27 |
| Find all providers with the same taxonomy | ||||
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| 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.