NPI: 1275297749 · GULF BREEZE, FL 32561 · Assisted Living Facility · NPI assigned 10/29/2021
| Authorized Official | GRINNELL, LAURISSA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/29/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 116 | $79K |
| 2022 | 240 | $216K |
| 2023 | 220 | $227K |
| 2024 | 206 | $293K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 782 | 628 | $814K |