NPI: 1164964003 · INDIANOLA, MS 38751 · Adult Care Home Facility · NPI assigned 11/09/2016
| Authorized Official | THOMAS, CHANDRA (CEO/OWNER) |
| NPI Enumeration Date | 11/09/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,042 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1019 | Personal care services, per 15 minutes, 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) | 1,042 | 91 | $45K |