MOSAIC
NPI 1609194521
Intermediate Care Facility, Intellectual Disabilities in Papillion, NE

NPI Status: Active since May 17, 2010

Contact Information

1433 GRANDVIEW AVE
PAPILLION, NE
ZIP 68046
Phone: (402) 896-3884

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 28D2034439
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 12-22-2025

About MOSAIC

This page provides the complete NPI Profile along with additional information for Mosaic, a provider established in Papillion, Nebraska operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1609194521 assigned on May 2010. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Scott Hoffman (Svp Clief Financial Officer)

NPI
1609194521
Provider Name
MOSAIC
Entity Type
Organization
Location Address
1433 GRANDVIEW AVE PAPILLION, NE 68046
Location Phone
(402) 896-3884
Mailing Address
4980 S 118TH ST OMAHA, NE 68137
Mailing Phone
(402) 896-3884
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2010
Last Update Date
10-12-2023
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License State
NE
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT HOFFMAN

Authorized Official Title
SVP CLIEF FINANCIAL OFFICER
Authorized Official Phone
(402) 896-3884

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2034439
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
December 23, 2023
Certificate Expiration Date
December 22, 2025
Laboratory Director
MOLLY A. FLECK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mosaic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609194521, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 2 + 9 + 8 + 5 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1609194521.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609194521, enumerated as an "organization" on May 17, 2010.

The provider is located at 1433 GRANDVIEW AVE PAPILLION, NE 68046 and the phone number is (402) 896-3884.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.