NPI: 1194483982 · BROOKPARK, OH 44142 · Assisted Living Facility · NPI assigned 11/30/2021
| Authorized Official | DEGYANSKY, JEFFREY (VPO) |
| NPI Enumeration Date | 11/30/2021 |
Other providers sharing the same authorized official: DEGYANSKY, JEFFREY
| Provider | City | State | Total Paid |
|---|---|---|---|
| EAST PARK OPERATIONS LLC | BROOKPARK | OH | $2.12M |
| SPRING HOME OPERATIONS LLC | GALLOWAY | NJ | $125K |
| AUTUMN COURT OPERATING COMPANY, LLC | OTTAWA | OH | $1K |
| ALS WOODSTOCK LLC | WOODSTOCK | OH | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 14 | 14 | $52K |