MOSAIC (NPI# 1841413374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841413374 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
4775 Centennial Blvd Suite 150 Colorado Springs CO 80919-3309 |
| Mailing Address |
4980 S 118th St Omana NE 68137-2220 |
| Practice Telephone | 4028963884 |
| Practice Fax Number | 4028944780 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | SCOTT HOFFMAN (SENIOR VP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4028963884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | CO | Agencies | |
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CO | Residential Treatment Facilities | |
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40636542 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 888 Garden of The Gods Road, Suite 100, Colorado Springs, CO 809079435 | 9704614356 | 7193807055 |
| 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 |
4775 CENTENNIAL BLVD SUITE 150 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80919-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777831 | Quasar Analytical Laboratories, LLC | Clinical Medical Laboratory | 4775 Centennial Blvd, Suite 120, Colorado Springs, CO 80919-3309 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171373 | Joshua Swanson | Chiropractor | 7075 Lexington Dr, Colorado Springs, CO 80919 | 2019-12-19 |
| 1144878000 | Perseverance Counseling, LLC | Counselor | 6645 Delmonico Drive, Suite 103, Colorado Springs, CO 80919 | 2019-09-03 |
| 1184288763 | Natasha Lei Michelle Meszler | Speech-Language Pathologist | 1130 W Woodmen Rd Ntsoc Inc, Colorado Springs, CO 80919 | 2019-04-29 |
| 1396207452 | Bruna Maria Vancleave | Physical Therapist | 1130 West Woodmen Road, Colorado Springs, CO 80919 | 2019-04-05 |
| 1346709425 | Brier Van Valin | Occupational Therapist | 1130 W. Woodmen Rd, Co Springs, CO 80919 | 2019-03-18 |
| 1285116756 | Amanda N Evanson | Behavioral Analyst | 2706 Fieldstone Road, Colorado Springs, CO 80919 | 2018-08-31 |
| 1033606124 | Kristina Reck | Dentist | 3340 W Woodmen Rd, Colorado Springs, CO 80919 | 2018-04-16 |
| 1326556192 | Charles Jacob Cox | Behavior Technician | 2760 Fieldstone Road, Colorado Springs, CO 80919 | 2018-01-16 |
| 1306360342 | Jessica Kledzinski | Specialist/Technologist | 5516 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| 1790209732 | Maryanne Fitzgerald | Specialist/Technologist | 5625 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| Find all providers in zip 80919 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631237 | Van Ness Day Program LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1430 N Hancock Ave, Colorado Springs, CO 80903-2621 | 2019-04-02 |
| 1861973570 | Community Outreach, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 S Tejon St, Colorado Springs, CO 80903-4148 | 2018-08-22 |
| 1427273036 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1801436985 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5630 N Academy Blvd, Colorado Springs, CO 80918-3659 | 2020-01-07 |
| 1942714795 | Your Choice Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2259 Falkirk Dr, Colorado Springs, CO 80910-3266 | 2017-11-30 |
| 1417172024 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1326263930 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1235354846 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1386254019 | Grace Mountain LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 | 2020-08-07 |
| 1598381766 | Hand and Heart Host Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 391 S Simms St, Lakewood, CO 80228-2905 | 2020-06-23 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1619599826 | Metro Hearts Host Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1192 Sandpiper Ln, Brighton, CO 80601-7391 | 2020-05-11 |
| 1588283550 | Roots, Limited Liability Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Purple Plum Ct, Fruita, CO 81521-6205 | 2020-04-10 |
| 1235760497 | Garden Neighbors, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 W Long Dr, Littleton, CO 80120-5531 | 2020-01-27 |
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80919 |
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.