Mosaic Of The Southwest

LBN: Mosaic Of The Southwest
Mosaic Of The Southwest is an health care organization with primary practice located at 1733 Augusta Ln , Atwater CA 95301-4903. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Mosaic Of The Southwest can be contacted via phone (559) 451-0399, or through Montgomery, Sally via phone (402) 896-3884.

Contact Information

Primary practice address
1733 Augusta Ln Atwater CA 95301-4903
Phone: (559) 451-0399
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Sally
Phone: (402) 896-3884

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1972710085
LBN Legal business name Mosaic Of The Southwest
DBA Doing business as
Authorized official Montgomery, Sally
Entity Organization
Organization subpart 1 No
Enumeration date May 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 1972710085 NPPES
California MEDICAID LTC80010H

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