Mosaic in Logan - Community Based Residential Treatment Facility, Mental Illness
Mosaic - NPI 1265584197
Mosaic is a Community Based Residential Treatment Facility, Mental Illness in Logan, Iowa. Mosaic practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Mosaic is 1265584197. The last update date is 2020-11-04.
Mosaic's current location address is 217 E 7th St, Logan, Iowa. You can contact this provider via phone number 7126442378 and fax number 7126643501. The mailing address for Mosaic is 217 E 7th St, Logan, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic |
|---|---|
| Address | 217 E 7th St, Logan, Iowa |
| Phone Number | 7126442378 |
| Fax Number | 7126643501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Sole Jeri |
| Telephone Number | 4028965827 |
NPI Number Detail
| NPI Number | 1265584197 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 217 E 7th St |
|---|---|
| City | Logan |
| State | Iowa (IA) |
| Post Code | 515461348 |
| Phone Number | 7126442378 |
| Fax Number | 7126643501 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1439232 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mosaic by the Centers for Medicare & Medicaid Services (CMS)?
The Mosaic has been assigned the NPI (National Provider Identifier) 1265584197. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mosaic's facilities are situated?
The facilities of Mosaic are physically located at the following address: 217 E 7Th St, Logan, IA, 515461348.
What is Mosaic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mosaic's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265584197 to Mosaic?
The Mosaic received its 1265584197 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Mosaic most recently updated or revised?
The information pertaining to Mosaic, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-04.
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