NPI: 1013410794 · MAPLEWOOD, MN 55109 · Assisted Living Facility · NPI assigned 03/09/2018
| Authorized Official | FAIRBANKS, ALAN (EXECUTIVE VP) |
| NPI Enumeration Date | 03/09/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,045 | $87K |
| 2019 | 1,099 | $114K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 2,144 | 72 | $201K |