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Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elkhart, Indiana
NPI 1649310194

Mosaic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, IN. Mosaic practices in Elkhart, IN. The NPI Number for Mosaic is 1649310194 and holds a License No. (Indiana).

The current practice location address for Mosaic is 421 S 2Nd St Ste 500, Elkhart, IN and can be reached out via phone at 574-675-0726 and via fax at 574-675-0847.

Location: 421 S 2Nd St Ste 500, Elkhart, IN, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649310194
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
421 S 2Nd St Ste 500, Elkhart, IN, 68137-2220
Phone Number
574-675-0726
Fax Number
574-675-0847
Provider Enumeration Date
02/07/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100243460A 01 IN E-BILLING NUMBER
100243480A 01 IN E-BILLING NUMBER
200129000A 01 IN E-BILLING NUMBER
200819770A 05 IN
201300290A 05 IN
200819770A 01 IN PROVIDER NUMBER
100248910A 01 IN E-BILLING NUMBER
institution
Provider Business Practice Location Address Details
Address
421 S 2Nd St Ste 500
City
Elkhart
State
Indiana
Zip
46516-3238
Phone Number
574-675-0726
Fax Number
574-675-0847
person
Provider Business Mailing Address Details
Address
421 S 2Nd St Ste 500
City
Elkhart
State
Indiana
Zip
46516-3238
Phone Number
574-675-0726
Fax Number
574-675-0847
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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