NPI 1790003614

Mosaic

Organisation Intellectual Disabilities Intermediate Care Facility Grand Island, NE

Practice location

Address: 1517 Hope St, Grand Island, NE 68801-7101
Phone: (402) 896-3884
Mailing address: 4980 S 118th St, Omaha, NE 68137-2200

Authorised official

Name: Kelli Powell
Title: Internal Audit Director
Phone: (402) 698-9812

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Nebraska →

Registry record

NPI: 1790003614
Entity type: Organization
NPI issued: 17 May 2010
Record last updated: 11 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.