NOBLE HOUSE RETIREMENT OF JACKSONVILLE
NPI: 1114326410
· JACKSONVILLE, FL 32210
· Assisted Living Facility
· NPI assigned 08/22/2014
$949K
Total Medicaid Paid
Provider Details
| Authorized Official | CATE, LALAINE (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 08/22/2014 |
Related Entities
Other providers sharing the same authorized official: CATE, LALAINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
399 |
$427K |
| 2020 |
537 |
$522K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
850 |
755 |
$861K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
86 |
85 |
$88K |