OrganizationActive
Mosaic
NPI 1972706885 · Intellectual Disabilities Intermediate Care Facility · Axtell, NE
Provider details
- NPI number
- 1972706885
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Hoffman, Svp Chief Financial Officer(402) 896-3884
- License
- ICFMR02 (NE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1044 23rd Rd
Axtell, NE 68924-3679
Phone: (308) 743-2401
Fax: (308) 743-2659
Approximate (ZIP-level) locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.