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Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Terre Haute, Indiana
NPI 1447390992

Mosaic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, IN. Mosaic practices in Terre Haute, IN. The NPI Number for Mosaic is 1447390992 and holds a License No. (Indiana).

The current practice location address for Mosaic is 2901 Professional Ln, Terre Haute, IN and can be reached out via phone at 812-235-3399 and via fax at 812-235-1590. You can also correspond with Mosaic through the mailing address at 4980 S 118TH ST, OMAHA, NE - 68137-2220 (mailing address contact number: 402-896-3884).

Location: 2901 Professional Ln, Terre Haute, IN, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447390992
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
2901 Professional Ln, Terre Haute, IN, 68137-2220
Phone Number
812-235-3399
Fax Number
812-235-1590
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100249240B 05 IN
100239750B 01 IN E-BILLING NUMBER
100235510B 01 IN E-BILLING NUMBER
100249240B 01 IN E-BILLING NUMBER
200819770B 05 IN
100244480B 01 IN E-BILLING NUMBER
200819770B 01 IN PROVIDER NUMBER
200376380A 01 IN E-BILLING NUMBER
institution
Provider Business Practice Location Address Details
Address
2901 Professional Ln
City
Terre Haute
State
Indiana
Zip
47802-3300
Phone Number
812-235-3399
Fax Number
812-235-1590
person
Provider Business Mailing Address Details
Address
2901 Professional Ln
City
Terre Haute
State
Indiana
Zip
47802-3300
Phone Number
812-235-3399
Fax Number
812-235-1590
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Indiana)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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