NPI: 1134769649 · HEBER CITY, UT 84032 · Assisted Living Facility · NPI assigned 01/13/2020
| Authorized Official | FINE, CANDICE (AUTHORIZED AGENT) |
| NPI Enumeration Date | 01/13/2020 |
Other providers sharing the same authorized official: FINE, CANDICE
| Provider | City | State | Total Paid |
|---|---|---|---|
| AVISTA SENIOR LIVING DESERT SPRINGS, LLC | PHOENIX | AZ | $17.60M |
| TERRA POINTE CARE, LLC | GLENDALE | AZ | $4.05M |
| AVISTA SCW, LLC | SUN CITY WEST | AZ | $1.27M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 20 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 20 | 12 | $24K |