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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MOSAIC
NPI 1649310194
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goshen, IN

Active since February 07, 2007CLIA 15D1107650 · Waiver
204 W CLINTON ST, GOSHEN, IN 46526(574) 675-0726(574) 675-0847 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, May 21, 2025, May 13, 2024 and 5 more (8 updates tracked since 2020).

About Mosaic NPPES

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

MOSAIC (NPI 1649310194) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Goshen, Indiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Scott Hoffman, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1649310194
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMOSAIC
Location Address204 W CLINTON STGoshen, IN 46526-3216
Mailing Address4980 S 118th StOmaha, NE 68137-2200 · (402) 896-3884 · Fax (402) 894-4780
Phone(574) 675-0726
Fax(574) 675-0847
Organization SubpartNo
Authorized OfficialScott HoffmanChief Financial Officer · (402) 896-3884
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 13, 20268 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1649310194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X
204 W CLINTON ST, Goshen, IN 46526
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Other Identifiers 1

Medicaid200819770AIN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1107650

Mosaic Of Indiana · Goshen, IN
Active · expires Nov 9, 2027
CLIA Number15D1107650
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorNika Ellis
Laboratory Phone(574) 675-0726
Laboratory LocationMosaic Of Indiana204 W Clinton Street, Goshen, IN 46528
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is MOSAIC's NPI number?

The NPI number assigned to this healthcare provider is 1649310194, enumerated as an "organization" on February 07, 2007.

Where is the provider located?

The provider is located at 204 W CLINTON ST GOSHEN, IN 46526 and the phone number is (574) 675-0726.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does MOSAIC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.