NPI: 1194376673 · CHAMPLIN, MN 55316 · Assisted Living Facility · NPI assigned 09/25/2019
| Authorized Official | SHAW, GELYNNA (SVP) |
| NPI Enumeration Date | 09/25/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,199 | $104K |
| 2023 | 3,458 | $324K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 4,657 | 158 | $428K |