OrganizationActive
Mosaic
NPI 1720273386 · Intellectual Disabilities Intermediate Care Facility · Grand Island, NE
Provider details
- NPI number
- 1720273386
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kelli Powell, Internal Audit Director(402) 698-9812
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2915 W Faidley Ave
Grand Island, NE 68803-4108
Phone: (308) 381-1690
Fax: (308) 381-6520
Approximate (ZIP-level) locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.