Mosaic Community Services, Llc

LBN: Mosaic Community Services, Llc
Mosaic Community Services, Llc is an health care organization with primary practice located at 602 Matthews Ave , Sikeston MO 63801-3259. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Mosaic Community Services, Llc can be contacted via phone (573) 621-5160, or through Hartzog, Benjamin Park via phone (573) 225-7614.

Contact Information

Primary practice address
602 Matthews Ave Sikeston MO 63801-3259
Phone: (573) 621-5160
Fax: (573) 621-5161
Website:
Map and Directions
Authorized official contact:
Name: Hartzog, Benjamin Park
Phone: (573) 225-7614

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Missouri

Profile Details

NPI number 1134513765
LBN Legal business name Mosaic Community Services, Llc
DBA Doing business as
Authorized official Hartzog, Benjamin Park
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2015
Last updated Apr 2nd, 2015 - about 10 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 1134513765 NPPES
Missouri MEDICAID 320900000X

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