SOUTHAVEN INC
NPI: 1013034602
· KENNETT, MO 63857
· Assisted Living Facility
· NPI assigned 03/26/2007
$190K
Total Medicaid Paid
Provider Details
| Authorized Official | STOVERINK, GINA (OWNER ADMINISTRATOR) |
| NPI Enumeration Date | 03/26/2007 |
Related Entities
Other providers sharing the same authorized official: STOVERINK, GINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
460 |
$190K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
345 |
110 |
$186K |
| T1001 |
Nursing assessment / evaluation |
115 |
110 |
$4K |