NPI: 1275862963 · MOUNT JULIET, TN 37122 · In Home Supportive Care Agency · NPI assigned 12/09/2009
| Authorized Official | KISOB, GERTRUDE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/09/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 345 | $48K |
| 2022 | 158 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | 503 | 38 | $71K |