NPI: 1275309254 · BROOKSVILLE, FL 34601 · Assisted Living Facility · NPI assigned 11/30/2023
| Authorized Official | KESSOCK, YITZCHAK (OWNER) |
| NPI Enumeration Date | 11/30/2023 |
Other providers sharing the same authorized official: KESSOCK, YITZCHAK
| Provider | City | State | Total Paid |
|---|---|---|---|
| ELEVATED ESTATES FOREST OAKS LLC | SPRING HILL | FL | $451K |
| ELEVATED ESTATES OF NEW PORT RICHEY | NEW PORT RICHEY | FL | $68K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 228 | $329K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 228 | 228 | $329K |