NPI: 1033525928 · HOLLYWOOD, FL 33020 · Assisted Living Facility · NPI assigned 07/11/2014
| Authorized Official | ITZCHAKI, DORIT (ADMINISTRATOR - V/P) |
| NPI Enumeration Date | 07/11/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 273 | $21K |
| 2019 | 464 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 157 | 155 | $173K |
| T1020 | Personal care services, per diem, 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) | 580 | 24 | $10K |