NPI: 1295148559 · MANSFIELD, TX 76063 · Community Based Hospice Care Agency · NPI assigned 06/04/2014
| Authorized Official | PRUITT, JAMIE (ADMINISTRATOR) |
| NPI Enumeration Date | 06/04/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 31 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 31 | 24 | $78K |