CHRISTIAN ASSISTED LIVING OF JOHNSON CITY LLC
NPI: 1104401231
· JOHNSON CITY, TN 37604
· Assisted Living Facility
· NPI assigned 03/10/2021
$381K
Total Medicaid Paid
Provider Details
| Authorized Official | LEWIS, JIMMY (CHIEF MANAGER) |
| NPI Enumeration Date | 03/10/2021 |
Related Entities
Other providers sharing the same authorized official: LEWIS, JIMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
106 |
$126K |
| 2023 |
151 |
$189K |
| 2024 |
49 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
306 |
287 |
$381K |