NPI: 1235517988 · PALM BAY, FL 32905 · Assisted Living Facility · NPI assigned 05/14/2015
| Authorized Official | PHENIX, RENEA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/14/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 452 | $467K |
| 2020 | 257 | $260K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 709 | 682 | $727K |