MOSAIC NPI 1073831996

NPI Information

NPI: 1073831996
Provider Name: MOSAIC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 28D2017760

Address:
2814 N 169TH ST
OMAHA, NE
ZIP 68116
Phone: (402) 896-3884
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MOSAIC is an intermediate care facility mentally retarded in Omaha, NE. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MOSAIC NPI is 1073831996. The provider is registered as an organization entity type.

The provider's business location address is:

2814 N 169TH ST
OMAHA, NE
ZIP 68116-689
Phone: (402) 896-3884

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 28D2017760 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2010 and was last updated on 10/12/2023.

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			NEBRASKA	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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