NPI: 1013397850 · JACKSONVILLE, FL 32208 · Assisted Living Facility · NPI assigned 06/07/2015
| Authorized Official | BRADFORD, COREY (OWNER) |
| NPI Enumeration Date | 06/07/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 111 | $114K |
| 2020 | 74 | $67K |
| 2021 | 77 | $82K |
| 2022 | 158 | $166K |
| 2023 | 139 | $178K |
| 2024 | 124 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 683 | 632 | $772K |