MOSAIC (NPI# 1366594368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366594368 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
124 W 3rd St Ellsworth KS 67439-3210 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2220 |
| Practice Telephone | 7854724081 |
| Practice Fax Number | 7854723851 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2007-01-18 |
| 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 |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
KS | Nursing Service Related Providers | |
| N | 251B00000X | Case Management | KS | Agencies | |
| N | 251E00000X | Home Health | KS | Agencies | |
| N | 343900000X | Non-emergency Medical Transport (VAN) | KS | Transportation Services | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | CASE MGMT | 200329400E | 01 |
| KS | HCBS | 200329400K | 01 |
| KS | NEMT | 200329400P | 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 |
124 W 3RD ST |
| City | ELLSWORTH |
| State | KS |
| Zip Code | 67439-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639555634 | Karen Kobs | Pharmacist | 1105 E 15th, Ellsworth, KS 67439 | 2015-08-03 |
| 1629281431 | Cheryl Ann Rathbun | Social Worker | 1295 Hwy 14, Ellsworth, KS 67439 | 2007-05-08 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1568753820 | Katie M Mcwilliams | General Practice | 1602 N Aylward Ave, Ellsworth, KS 67439 | 2011-04-21 |
| 1609918523 | Kyle Gwinner Od LLC | Optometrist | 801 E 3rd St, Ellsworth, KS 67439-0339 | 2007-02-14 |
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1386192227 | Lindsey Warta | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1841436052 | Teasha Lee Choitz | Occupational Therapy Assistant | 1113 State St, Ellsworth, KS 67439-2144 | 2008-12-18 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| Find all providers in zip 67439 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.