MOSAIC
NPI 1336291343
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rockford, IL

NPI Status: Active since January 18, 2007

Contact Information

1111 S ALPINE RD STE 401
ROCKFORD, IL
ZIP 61108
Phone: (815) 387-8390
Fax: (815) 387-9055

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About MOSAIC

This page provides the complete NPI Profile along with additional information for Mosaic, a provider established in Rockford, Illinois operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1336291343 assigned on January 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Scott Hoffman (Svp/chief Financial Officer)

NPI
1336291343
Provider Name
MOSAIC
Entity Type
Organization
Location Address
1111 S ALPINE RD STE 401 ROCKFORD, IL 61108
Location Phone
(815) 387-8390
Location Fax
(815) 387-9055
Mailing Address
4980 S 118TH ST OMAHA, NE 68137
Mailing Phone
(402) 896-3884
Mailing Fax
(815) 387-9055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
09-26-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License State
IL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT HOFFMAN

Authorized Official Title
SVP/CHIEF FINANCIAL OFFICER
Authorized Official Phone
(402) 896-3884

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336291343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236649238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 9 + 2 + 3 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1336291343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336291343, enumerated in the NPI registry as an "organization" on January 18, 2007

The provider is located at 1111 S Alpine Rd Ste 401 Rockford, Il 61108 and the phone number is (815) 387-8390

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on January 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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