MOSAIC
NPI 1972706885
Intermediate Care Facility, Intellectual Disabilities in Axtell, NE

Active since June 07, 2007CLIA 28D0879706 · Waiver
1044 23RD RD, AXTELL, NE 68924(308) 743-2401(308) 743-2659 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Nov 9, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Mosaic NPPES

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

MOSAIC (NPI 1972706885) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Axtell, Nebraska and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Scott Hoffman, Svp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1972706885
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMOSAIC
Location Address1044 23RD RDAxtell, NE 68924-3679
Mailing Address4980 S 118th StOmaha, NE 68137-2220 · (402) 896-3884 · Fax (402) 894-4780
Fax(308) 743-2659
Organization SubpartNo
Authorized OfficialScott HoffmanSvp Chief Financial Officer · (402) 896-3884
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1972706885 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
License Licensed in NE · ICFMR02
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1044 23RD RD, Axtell, NE 68924

Other Identifiers 1

Other10025284000NE · Provider Number

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 28D0879706

Mosaic · Axtell, NE
Active · expires Dec 1, 2027
CLIA Number28D0879706
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMs. Jolene Niles
Laboratory Phone(308) 743-2401
Laboratory LocationMosaic1044 23rd Road, Axtell, NE 68924
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 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 1972706885. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Mosaic located?

Mosaic is located at 1044 23rd Rd, Axtell, NE 68924. The listed phone number is (308) 743-2401.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0879706) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mosaic was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.