MOSAIC (NPI# 1487952297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487952297 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
2000 W Park Ave Norfolk NE 68701-4701 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2200 |
| Practice Telephone | 4023793888 |
| Mailing Telephone | 4028963884 |
| Enumeration Date | 2011-03-02 |
| 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 | 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 |
| 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 |
| 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 |
| Massachusetts Corporations | MOSAIC ACCOUNTING LLC | 12 Whitehall Way, Bellingham, MA 02019 |
| New York State Corporations | MOSAIC ADVISORY PARTNERS, LLC | 330 E. 79th Street #2a, New York, New York 10075 |
| Virginia Business Entities | Mosaic Aquia Owner LLC | 2800 Quarry Lake Drive, Suite 340, Baltimore, Maryland 21209 |
| Street Address |
2000 W PARK AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750819207 | Heather Marie Dohmen | Registered Nurse | 2000 W Park Ave, Norfolk, NE 68701-4701 | 2017-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1356775290 | The Albero House | Intermediate Care Facility, Mentally Retarded | 6171 Kempsville Cir, Norfolk, VA 23502-3930 | 2013-08-28 |
| 1740217918 | St Marys Home for Disabled Children | Intermediate Care Facility, Mentally Retarded | 6171 Kempsville Circle, Norfolk, VA 23502-3930 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.