Mosaic in Logan - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mosaic - NPI 1649322579
Mosaic is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Logan, Iowa. Mosaic practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mosaic is 1649322579. The last update date is 2020-06-11.
Mosaic's current location address is 715 N 2nd Ave, Logan, Iowa. You can contact this provider via phone number 7126442378 and fax number 7126643501. The mailing address for Mosaic is 715 N 2nd Ave, Logan, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic |
|---|---|
| Address | 715 N 2nd Ave, Logan, Iowa |
| Phone Number | 7126442378 |
| Fax Number | 7126643501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VP |
|---|---|
| Authorized Official Name | Hoffman Scott |
| Telephone Number | 4028963884 |
NPI Number Detail
| NPI Number | 1649322579 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-06-11 |
Provider Mailing Address Detail
| Address | 715 N 2nd Ave |
|---|---|
| City | Logan |
| State | Iowa (IA) |
| Post Code | 505460000 |
| Phone Number | 7126442378 |
| Fax Number | 7126643501 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 439919 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mosaic by the Centers for Medicare & Medicaid Services?
The Mosaic has been assigned the NPI (National Provider Identifier) 1649322579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mosaic is located?
The Mosaic is situated at the following address: 715 N 2Nd Ave, Logan, IA, 505460000.
What is the area of specialization for Mosaic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mosaic is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Mosaic receive the assignment of its 1649322579 from the Centers for Medicare & Medicaid Services?
The Mosaic was issued its 1649322579 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details pertaining to Mosaic last refreshed?
The information related to the Mosaic, including its address, specialty, and other relevant details, was last updated on 2020-06-11.