MOSAIC NPI 1760605398

NPI Information

NPI: 1760605398
Provider Name: MOSAIC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2456 INDUSTRIAL AVE
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 461-4356
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MOSAIC is a community based residential treatment facility, intellectual and/or developmental disabilities in Grand Junction, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MOSAIC NPI is 1760605398. The provider is registered as an organization entity type.

The provider's business location address is:

2456 INDUSTRIAL AVE
GRAND JUNCTION, CO
ZIP 81505-315
Phone: (970) 461-4356
Fax: (970) 241-3526

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

The enumeration date for this NPI number is 4/11/2007 and was last updated on 6/11/2020.

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	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	COLORADO	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	COLORADO	No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	376J00000X	Homemaker		No
5	385H00000X	Respite Care		No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22952756	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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