MG PORT CHARLOTTE II SUBTENANT LLC
NPI: 1083242945
· PORT CHARLOTTE, FL 33948
· Assisted Living Facility
· NPI assigned 03/27/2020
Provider Details
| Authorized Official | SPEAR, DOUGLAS (AUTHORIZED REPRESENTATIVE) |
| NPI Enumeration Date | 03/27/2020 |
Related Entities
Other providers sharing the same authorized official: SPEAR, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
45 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
45 |
27 |
$29K |