NPI: 1265970651 · COOPER CITY, FL 33024 · Assisted Living Facility · NPI assigned 02/06/2017
| Authorized Official | LEVY, STEPHEN (AGENT FOR OWNER) |
| NPI Enumeration Date | 02/06/2017 |
Other providers sharing the same authorized official: LEVY, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SLH HTI WEST MANAGER, LLC | MERIDIAN | ID | $2.90M |
| SOARING HEALTH AND WELLNESS | PORTLAND | OR | $52K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 25 | 25 | $46K |