NPI: 1215440763 · NEW BRIGHTON, MN 55112 · Home Health Agency · NPI assigned 11/07/2017
| Authorized Official | DIJEH, IKENNA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/07/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 411 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 411 | 12 | $140K |