NPI: 1295305142 · WELLINGTON, FL 33414 · Assisted Living Facility · NPI assigned 07/01/2021
| Authorized Official | CARVAJAL, PILAR (PRESIDENT) |
| NPI Enumeration Date | 07/01/2021 |
Other providers sharing the same authorized official: CARVAJAL, PILAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKE WALES SLC OPCO LLC | LAKE WALES | FL | $535K |
| HAINES CITY SLC OPCO LLC | HAINES CITY | FL | $500K |
| VIP CARE PAVILION, LLC | MARGATE | FL | $127K |
| BARTOW SLC OPCO, LLC | BARTOW | FL | $33K |
| ISM-HERITAGE HOUSE ALF, LLC | CLEARWATER | FL | $14K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 50 | $39K |
| 2022 | 26 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 76 | 38 | $57K |