Organization · Type 2 NPI
Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Goshen, IN
Practice location
204 W Clinton St
Goshen, IN 46526-3216
Fax (574) 675-0847
Mailing address
4980 S 118th St
Omaha, NE 68137-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Goshen
About NPI 1649310194
Mosaic's National Provider Identifier is 1649310194, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Goshen, IN. The record was last updated on Jul 13, 2026.