Organization · Type 2 NPI
Mosaic
Child Physical Disabilities Respite Care · San Angelo, TX
NPI number
1821136813
Active
Practice location
5191 S Bryant Blvd
San Angelo, TX 76904-9561
Fax (325) 651-8110
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care Primary | 385HR2065X | None listed |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
3 other providers at this address
About NPI 1821136813
Mosaic's National Provider Identifier is 1821136813, issued on Feb 2, 2007. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in San Angelo, TX. The record was last updated on Sep 11, 2025.