Mosaic in Omaha - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mosaic - NPI 1609091214
Mosaic is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Omaha, Nebraska. 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 1609091214. The last update date is 2020-08-22.
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 | VP ACCOUNT |
|---|---|
| Authorized Official Name | Wilson Dean |
| Telephone Number | 4028963884 |
NPI Number Detail
| NPI Number | 1609091214 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
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 | 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 |
|---|---|---|---|
| 22008071 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mosaic?
The Mosaic has been issued the NPI (National Provider Identifier) 1609091214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is 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: 4980 S 118Th St, Omaha, NE, 681372220.
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 Centers for Medicare & Medicaid Services assign the 1609091214 to Mosaic?
The Centers for Medicare & Medicaid Services assigned the 1609091214 to Mosaic on 2007-04-17.
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 2020-08-22.