NPI: 1124443346 · DAYTONA BEACH, FL 32118 · Psychiatric Residential Treatment Facility · NPI assigned 02/25/2014
| Authorized Official | DYGDON, JACEK (OWNER) |
| NPI Enumeration Date | 02/25/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 609 | $212K |
| 2020 | 596 | $214K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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) | 1,205 | 1,164 | $426K |