GRAND B1
NPI: 1306415849
· EDMORE, MI 48829
· Adult Care Home Facility
· NPI assigned 06/19/2021
$439K
Total Medicaid Paid
Provider Details
| Authorized Official | POWELL, LINDA (ADMINISTRATOR) |
| NPI Enumeration Date | 06/19/2021 |
Related Entities
Other providers sharing the same authorized official: POWELL, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
283 |
$439K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
145 |
117 |
$330K |
| 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) |
138 |
112 |
$109K |