Organization · Type 2 NPI

Mosaic

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Live Oak, TX

NPI number 1306984398 Active

Practice location

12107 Toepperwein Rd, Suite 2
Live Oak, TX 78233-3136

Call (210) 967-0566 Map

Fax (210) 967-6232

Mailing address

4980 S 118th St
Omaha, NE 68137-2220

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1306984398

Mosaic's National Provider Identifier is 1306984398, issued on Feb 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Live Oak, TX. The record was last updated on Sep 11, 2025.