Mosaic in Omaha - Intermediate Care Facility, Intellectual Disabilities
Mosaic - NPI 1972706885
Mosaic is a Intermediate Care Facility, Intellectual Disabilities in Omaha, Nebraska. Mosaic practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mosaic is 1972706885. The last update date is 2023-10-12.
Mosaic's current location address is 4980 S 118th St, Omaha, Nebraska. You can contact this provider via phone number 4028963884 and fax number 4028944780. The mailing address for Mosaic is 4980 S 118th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic |
|---|---|
| Address | 4980 S 118th St, Omaha, Nebraska |
| Phone Number | 4028963884 |
| Fax Number | 4028944780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP CHIEF |
|---|---|
| Authorized Official Name | Hoffman Scott |
| Telephone Number | 4028963884 |
NPI Number Detail
| NPI Number | 1972706885 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2023-10-12 |
Provider Mailing Address Detail
| Address | 4980 S 118th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681372220 |
| Phone Number | 4028963884 |
| Fax Number | 4028944780 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | ICFMR02 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025284000 | NE | PROVIDER NUMBER |
Post Comment/ Review Below
What is the Mosaic's 1972706885?
The Mosaic's NPI (National Provider Identifier) Number is 1972706885. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mosaic's physical address?
The Mosaic is physically located at 4980 S 118Th St, in the city of Omaha, NE, with the postal code 681372220.
What is Mosaic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mosaic's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972706885 to Mosaic?
The Mosaic received its 1972706885 assignment from the Centers for Medicare & Medicaid Services on 2007-06-07.
When was the Mosaic's information last updated?
The Mosaic's information was last updated on 2023-10-12.
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