NPI: 1285075986 · ST PETERSBURG, FL 33701 · Assisted Living Facility (Mental Illness) · NPI assigned 07/10/2013
| Authorized Official | MAZARIEGOS, CARLOS (ADMINISTRATOR) |
| NPI Enumeration Date | 07/10/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 620 | $267K |
| 2020 | 165 | $47K |
| 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) | 627 | 513 | $171K |
| T2030 | Assisted living, waiver; per month | 158 | 142 | $143K |