MOSAIC NPI 1487952297

NPI Information

NPI: 1487952297
Provider Name: MOSAIC

Other Name: MOSAIC IN NORFOLK - PARK AVE ICF

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 28D2056159

Address:
2000 W PARK AVE
NORFOLK, NE
ZIP 68701
Phone: (402) 379-3888
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MOSAIC is an intermediate care facility mentally retarded in Norfolk, NE. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MOSAIC NPI is 1487952297. The provider is registered as an organization entity type.
The provider Other Name Is Mosaic In Norfolk - Park Ave Icf.

The provider's business location address is:

2000 W PARK AVE
NORFOLK, NE
ZIP 68701-701
Phone: (402) 379-3888

The provider's authorized official is Scott Hoffman .
The authorized official title is Svp Chief Financial Officer and has the following contact phone number (402) 896-3884.

The CLIA number assigned to this NPI record is 28D2056159 - other - dd community based with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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