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EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
NPI: 1083884571
· PEORIA, AZ 85382
· Assisted Living Facility
· NPI assigned 03/11/2008
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | GARBERS, MICHAEL (VICE PRESIDENT, HJ SIMS INVESTMENTS) |
| Parent Organization | HJ SIMS INVESTMENTS, LLC |
| NPI Enumeration Date | 03/11/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
21 |
$17K |
| 2019 |
113 |
$229K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
134 |
123 |
$246K |