LEGENDS PARK LLC

NPI: 1154458354 · COEUR D ALENE, ID 83815 · Assisted Living Facility · NPI assigned 02/27/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official VISLOCKY, GREGORY controls 11+ related entities in our dataset. Read more

$85K

Total Medicaid Paid

121

Total Claims

Beneficiaries

Codes Billed

2021-02

First Month

2021-08

Last Month

Provider Details

Authorized Official	VISLOCKY, GREGORY (MANAGING MEMBER)
NPI Enumeration Date	02/27/2007

Other providers sharing the same authorized official: VISLOCKY, GREGORY

Provider	City	State	Total Paid
PARKWOOD MEADOWS LLC	IDAHO FALLS	ID	$1.51M
CALDWELL VENTURES LLC	CALDWELL	ID	$278K
CARE CENTER WENATCHEE INC	WENATCHEE	WA	$26K
CARE CENTER CLARKSTON INC.	CLARKSTON	WA	$4K
CARE CENTER CENTRALIA INC	CENTRALIA	WA	$581.23
CARE CENTER ELLENSBURG INC	ELLENSBURG	WA	$194.97
CARE CENTER COLVILLE INC.	COLVILLE	WA	$143.64
CARE CENTER HAZEL DELL INC	VANCOUVER	WA	$73.89
CARE CENTER TOPPENISH INC.	TOPPENISH	WA	$0.00
CARE CENTER (CAMAS) INC.	CAMAS	WA	$0.00
CARE CENTER (SUNNYSIDE) INC.	SUNNYSIDE	WA	$0.00

Year	Claims	Total Paid
2021	121	$85K

Code	Description	Claims	Beneficiaries	Total Paid
S5140	Foster care, adult; per diem	121	94	$85K