Provider Demographics
NPI:1063216661
Name:MOSAIC HEALTH COLLECTIVE LLC
Entity type:Organization
Organization Name:MOSAIC HEALTH COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VELONDRIA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:BURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-937-0490
Mailing Address - Street 1:605 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-2048
Mailing Address - Country:US
Mailing Address - Phone:817-937-0490
Mailing Address - Fax:
Practice Address - Street 1:605 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-2048
Practice Address - Country:US
Practice Address - Phone:817-937-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
No251G00000XAgenciesHospice Care, Community Based
No342000000XTransportation ServicesTransportation Network Company