COUNTRYSIDE HOME, LLC
NPI: 1043520133
· LEBANON, MO 65536
· Assisted Living Facility
· NPI assigned 10/07/2010
Provider Details
| Authorized Official | HOWLETT, MARY (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 10/07/2010 |
Related Entities
Other providers sharing the same authorized official: HOWLETT, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$12K |
| 2019 |
84 |
$24K |
| 2024 |
35 |
$19K |
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) |
178 |
122 |
$55K |