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MOSAIC
NPI 1720273386
Intermediate Care Facility, Intellectual Disabilities in Grand Island, NE

Active since September 07, 2007CLIA Certified · 2 labs
2915 W FAIDLEY AVE, GRAND ISLAND, NE 68803(308) 381-1690(308) 381-6520 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Oct 12, 2023, Jul 20, 2022 and 1 more (4 updates tracked since 2020).

About Mosaic NPPES

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

MOSAIC (NPI 1720273386) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Grand Island, Nebraska and active in the NPI registry since September 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelli Powell, Internal Audit Director, as its authorized official.

NPPES Registry Identity

NPI1720273386
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMOSAIC
Location Address2915 W FAIDLEY AVEGrand Island, NE 68803-4108
Mailing Address4980 S 118th StOmaha, NE 68137-2220 · (402) 896-3884 · Fax (402) 894-4780
Phone(308) 381-1690
Fax(308) 381-6520
Organization SubpartNo
Authorized OfficialKelli PowellInternal Audit Director · (402) 698-9812
Enumeration DateSeptember 7, 2007
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1720273386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2915 W FAIDLEY AVE, Grand Island, NE 68803
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Other Identifiers 1

MedicaidICFMR01NE

CLIA Laboratory Certificates CMS CLIA 2

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 28D2016544

Mosaic - Faidley · Grand Island, NE
Active · expires Nov 18, 2026
CLIA Number28D2016544
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorAlicia R. Furrey
Laboratory Phone(308) 381-0137
Laboratory LocationMosaic - FaidleyMosaic-Icf/Id 2915 W Faidley, Grand Island, NE 68803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 28D2016547

Mosaic - Hope · Grand Island, NE
Active · expires Nov 18, 2026
CLIA Number28D2016547
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorAlicia R. Furrey
Laboratory Phone(308) 370-0137
Laboratory LocationMosaic - HopeMosaic Icf/Id 1517 Hope Street, Grand Island, NE 68803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA LOVELESS
Adult Companion
2915 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 381-0634

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's NPI number?

The NPI number for Mosaic is 1720273386. It was assigned to this organization in the NPPES registry on September 7, 2007.

Where is Mosaic located?

Mosaic is located at 2915 W Faidley Ave, Grand Island, NE 68803. The listed phone number is (308) 381-1690.

What is Mosaic's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Mosaic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mosaic was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.