MOSAIC (NPI# 1689742439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689742439 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
905 Highway 69 S Forest City IA 50436-2100 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2220 |
| Practice Telephone | 6415855450 |
| Practice Fax Number | 6415854522 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MR. SCOTT O HOFFMAN (SVP OF FINANCE) |
| Authorized Official Telephone | 4028963884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DE ELECTRONIC BILLING # | 1000036571 | 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 |
905 HIGHWAY 69 S |
| City | FOREST CITY |
| State | IA |
| Zip Code | 50436-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616632 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 905 Highway 69 S, Forest City, IA 50436-2100 | 2020-07-08 |
| 1578802922 | Mosiac | Community Based Residential Treatment Facility, Mental Illness | 905 Highway 69 S, Forest City, IA 50436-2100 | 2013-02-05 |
| 1942575972 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Highway 69 S, Forest City, IA 50436-2100 | 2012-03-08 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616632 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 905 Highway 69 S, Forest City, IA 50436-2100 | 2020-07-08 |
| 1720416993 | Evolve Health Care Services LLC | Community Based Residential Treatment Facility, Mental Illness | 126 Pine St, Forest City, NC 28043-4587 | 2013-10-24 |
| 1578802922 | Mosiac | Community Based Residential Treatment Facility, Mental Illness | 905 Highway 69 S, Forest City, IA 50436-2100 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
| 1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
| 1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
| 1093937260 | Scenic Acres | Community Based Residential Treatment Facility, Mental Illness | 23105 Granite Avenue, Saint Olaf, IA 52074-8049 | 2007-05-03 |
| 1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
| 1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
| 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.