MOSAIC COMMUNITY SERVICES, LLC
NPI 1134513765
In Home Supportive Care in Sikeston, MO

Q: What is Mosaic Community Services, LLC's NPI number?

The NPI number for Mosaic Community Services, LLC is 1134513765. It was assigned to this organization in the NPPES registry on March 20, 2015.

Q: What is Mosaic Community Services, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 20, 2015

602 MATTHEWS AVE, SIKESTON, MO 63801(573) 621-5160(573) 621-5161 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mosaic Community Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSAIC COMMUNITY SERVICES, LLC (NPI 1134513765) is a healthcare organization registered as an in home supportive care in Sikeston, Missouri and active in the NPI registry since March 2015. The organization lists Benjamin Park Hartzog, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1134513765

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameMOSAIC COMMUNITY SERVICES, LLC

Location Address602 MATTHEWS AVESikeston, MO 63801-3259

Mailing Address602 Matthews Ave, P.o. Box 1522Sikeston, MO 63801-3259 · (573) 621-5160 · Fax (573) 621-5161

Phone(573) 621-5160

Fax(573) 621-5161

Organization SubpartNo

Authorized OfficialBenjamin Park HartzogExecutive Director · (573) 225-7614

Enumeration DateMarch 20, 2015

Last NPPES UpdateApril 2, 2015

✔ NPI 1134513765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

602 MATTHEWS AVE, Sikeston, MO 63801

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Other Identifiers 1

Medicaid320900000XMO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mosaic Community Services, LLC's NPI number?

The NPI number for Mosaic Community Services, LLC is 1134513765. It was assigned to this organization in the NPPES registry on March 20, 2015.

Where is Mosaic Community Services, LLC located?

Mosaic Community Services, LLC is located at 602 Matthews Ave, Sikeston, MO 63801. The listed phone number is (573) 621-5160.

What is Mosaic Community Services, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Mosaic Community Services, LLC was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.