Mosaic

Intellectual Disabilities Intermediate Care Facility · Logan, IA

Organization Active NPI

NPI number 1831246552

Practice location

309 East Second Street
Logan, IA 52546
Phone
(712) 644-2378
Fax
(712) 664-3501

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NPI record

NPI
1831246552
Entity type
Organization (Type 2)
Enumeration date
January 4, 2007
Last updated
June 11, 2020
Certified
June 11, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X 430775 IA

Mailing address

4980 S 118TH St
Omaha, NE 68137-2220
Phone
(402) 896-3884
Fax
(402) 894-4780

Authorized official

Name
Scott Hoffman
Title
Senior VP & Chief Financial Officer
Phone
(402) 896-3884

About Mosaic

Mosaic is a healthcare organization registered in the NPI registry with the primary taxonomy Intellectual Disabilities Intermediate Care Facility (code 315P00000X). The practice location is 309 East Second Street, Logan, IA 52546. The NPI number 1831246552 was assigned on January 4, 2007 and the record was last updated on June 11, 2020.

Mosaic lists a license in the registry: #430775 (IA) for Intellectual Disabilities Intermediate Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Scott Hoffman, Senior VP & Chief Financial Officer.

Frequently asked questions

What is the NPI number of Mosaic?

The NPI number is 1831246552.

What is the phone number of Mosaic?

The phone number listed for the practice location is (712) 644-2378.

Where is Mosaic located?

309 East Second Street, Logan, IA 52546.

What is the taxonomy code for Mosaic?

The primary taxonomy code is 315P00000X – Intellectual Disabilities Intermediate Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.