NPI: 1063034015 · YANKTON, SD 57078 · Assisted Living Facility · NPI assigned 05/13/2020
| Authorized Official | MARIENAU, LETHIA (CFO) |
| NPI Enumeration Date | 05/13/2020 |
Other providers sharing the same authorized official: MARIENAU, LETHIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| YANKTON PH | YANKTON | SD | $4.11M |
| HURON VT LLC | HURON | SD | $1.92M |
| AUTUMN WINDS LLC | YANKTON | SD | $628K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 47 | $50K |
| 2022 | 16 | $16K |
| 2023 | 39 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 102 | 85 | $102K |