NPI: 1275941833 · JACKSONVILLE, FL 32211 · Assisted Living Facility (Mental Illness) · NPI assigned 07/28/2014
| Authorized Official | MALDONADO, IVAN (ADMINISTRATOR) |
| NPI Enumeration Date | 07/28/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 200 | $71K |
| 2020 | 108 | $35K |
| 2021 | 208 | $70K |
| 2022 | 153 | $52K |
| 2023 | 196 | $75K |
| 2024 | 139 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 1,004 | 954 | $355K |