OrganizationActive
Mosaic
NPI 1831246552 · Intellectual Disabilities Intermediate Care Facility · Logan, IA
Provider details
- NPI number
- 1831246552
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Hoffman, Senior Vp & Chief Financial Officer(402) 896-3884
- License
- 430775 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 East Second Street
Logan, IA 52546
Phone: (712) 644-2378
Fax: (712) 664-3501
Street-level locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.