MOSAIC (NPI# 1942575972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942575972 |
| Entity Type | Organization |
| Organization Name | MOSAIC |
| Practice Address |
905 Highway 69 S Forest City IA 50436-2100 |
| Mailing Address |
905 S Hwy 69 Forest City IA 50436 |
| Practice Telephone | 6415855451 |
| Enumeration Date | 2012-03-08 |
| 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 |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment 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 |
| 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 |
|---|---|---|---|---|
| 1689742439 | Mosaic | Psychologist | 905 Highway 69 S, Forest City, IA 50436-2100 | 2006-12-01 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1366718298 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 E Park St, Forest City, IA 50436-2103 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040111 | Ability United LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 N Adams St, Carroll, IA 51401-2821 | 2020-04-01 |
| 1881045706 | Golden Touch Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7618 Hickman Rd, Windsor Heights, IA 50324-4510 | 2016-06-22 |
| 1518302801 | The Phoenix Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 | 2013-05-01 |
| 1720331739 | The Collaborative Adult Relationship Experiences Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2649 Avenue B, Council Bluffs, IA 51501-2105 | 2012-10-16 |
| 1407115645 | Anchor Homes, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 501 N 15th St, Clarinda, IA 51632-1632 | 2012-05-09 |
| 1306115365 | Community Living Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8517 Airline Ave, Urbandale, IA 50322-2317 | 2011-12-21 |
| 1033414826 | Tandem Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Ave Ste D2, Des Moines, IA 50310-5804 | 2011-01-25 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1174658637 | Crossroads Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1424 Houser St, Muscatine, IA 52761-2235 | 2007-02-23 |
| 1265578439 | Discovery Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 220 Northland Ct Ne, Cedar Rapids, IA 52402-6226 | 2007-01-29 |
| 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.