NPI: 1174056196 · SAINT LOUIS, MO 63109 · Nursing Facility/Intermediate Care Facility · NPI assigned 04/06/2017
| Authorized Official | ALI, ABDULLAH (DIRECTOR) |
| NPI Enumeration Date | 04/06/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 137 | $97K |
| 2022 | 264 | $244K |
| 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) | 401 | 192 | $341K |