NPI: 1164863338 · CLEARWATER, FL 33756 · Assisted Living Facility · NPI assigned 07/16/2013
| Authorized Official | SHAUGHNESSY, PATRICK (PRESIDENT) |
| NPI Enumeration Date | 07/16/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $13K |
| 2020 | 12 | $14K |
| 2022 | 42 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 66 | 63 | $76K |