NPI: 1144855123 · BURTON, MI 48529 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/10/2020
| Authorized Official | WICKSON, RYAN (OWNER) |
| NPI Enumeration Date | 03/10/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 84 | $203K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 42 | 12 | $164K |
| 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) | 42 | 12 | $39K |