NPI: 1104599901 · NAMPA, ID 83686 · Assisted Living Facility · NPI assigned 07/28/2021
| Authorized Official | HILTY, MATTHEW (OWNER) |
| NPI Enumeration Date | 07/28/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $49K |
| 2023 | 16 | $22K |
| 2024 | 62 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 106 | 91 | $181K |