MOSAIC
NPI 1306984398
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Live Oak, TX
- Organization
- Community Based Residential Treatment Fa...
About MOSAIC
This page provides the complete NPI Profile along with additional information for Mosaic, a provider established in Live Oak, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1306984398 assigned on February 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dean Wilson (Vp Accounting)
- NPI
- 1306984398 Verify this NPI
- Provider Name
- MOSAIC
- Entity Type
- Organization
- Location Address
- 12107 TOEPPERWEIN RD SUITE 2 LIVE OAK, TX 78233
- Location Phone
- (210) 967-0566
- Location Fax
- (210) 967-6232
- Mailing Address
- 4980 S 118TH ST OMAHA, NE 68137
- Mailing Phone
- (402) 896-3884
- Mailing Fax
- (402) 894-4780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License State
- TX
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | (TX) |
| 2 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | (TX) |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | (TX) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306984398, enumerated as an "organization" on February 02, 2007.
The provider is located at 12107 TOEPPERWEIN RD SUITE 2 LIVE OAK, TX 78233 and the phone number is (210) 967-0566.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.