MOSAIC
NPI 1669016457
Community Based Residential Treatment Facility, Mental Illness in Urbandale, IA

NPI Status: Active since November 05, 2019

Contact Information

11141 AURORA AVE BLDG 3
URBANDALE, IA
ZIP 50322
Phone: (515) 246-1840
Fax: (515) 246-8236

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About MOSAIC

This page provides the complete NPI Profile along with additional information for Mosaic, a provider established in Urbandale, Iowa operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1669016457 assigned on November 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mosaic. The authorized official of this NPI record is Scott Hoffman (Sr Vp & Chief Financial Officer)

NPI
1669016457
Provider Legal Name
MOSAIC
Other Organization Name
MOSAIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11141 AURORA AVE BLDG 3 URBANDALE, IA 50322
Location Phone
(515) 246-1840
Location Fax
(515) 246-8236
Mailing Address
4980 S 118TH ST OMAHA, NE 68137
Mailing Phone
(402) 896-5827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2019
Last Update Date
01-09-2024
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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
SR VP & 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.
1669016457
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261290112410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 0 + 1 + 1 + 2 + 4 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1669016457 is valid because the calculated check digit 7 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 1669016457, enumerated in the NPI registry as an "organization" on November 05, 2019

The provider is located at 11141 Aurora Ave Bldg 3 Urbandale, Ia 50322 and the phone number is (515) 246-1840

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on November 05, 2019. 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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