Mosaic

LBN: Mosaic
Mosaic is an health care organization with primary practice located at 1785 N Academy Blvd Suite 127, Colorado Springs CO 80909-2734. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mosaic can be contacted via phone (719) 380-0451, or through Wilson, Dean via phone (402) 896-3884.

Contact Information

Primary practice address
1785 N Academy Blvd Suite 127 Colorado Springs CO 80909-2734
Phone: (719) 380-0451
Fax: (719) 380-7055
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Dean
Phone: (402) 896-3884

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Colorado

Profile Details

NPI number 1235354846
LBN Legal business name Mosaic
DBA Doing business as
Authorized official Wilson, Dean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235354846 NPPES
Colorado MEDICAID 64455548

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