EUREKA ANNEX RESIDENCE
NPI: 1043634769
· GILBERT, AZ 85295
· Substance Abuse Rehabilitation Facility
· NPI assigned 02/17/2014
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | TANYI, CORNELIUS (PROGRAM DIRECTOR) |
| Parent Organization | EUREKA IMPERIAL RESIDENCE |
| NPI Enumeration Date | 02/17/2014 |
Related Entities
Other providers sharing the same authorized official: TANYI, CORNELIUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$116K |
| 2023 |
45 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
87 |
42 |
$116K |