HERITAGE BOARD & CARE #4
NPI: 1285084509
· LONG BEACH, CA 90802
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/17/2016
$742K
Total Medicaid Paid
Provider Details
| Authorized Official | TRINIDAD, GRACE (CONTACT PERSON) |
| NPI Enumeration Date | 06/17/2016 |
Related Entities
Other providers sharing the same authorized official: TRINIDAD, GRACE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
128 |
$284K |
| 2021 |
160 |
$390K |
| 2022 |
25 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
313 |
313 |
$742K |