NPI: 1053810895 · FORT LUPTON, CO 80621 · Assisted Living Facility · NPI assigned 02/07/2018
| Authorized Official | ELLISON, MARK (AUTHORIZED PERSON) |
| Parent Organization | ASHLEY MANOR, LLC |
| NPI Enumeration Date | 02/07/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 13 | 12 | $18K |