NPI: 1336585520 · THONOTOSASSA, FL 33592 · Home Health Agency · NPI assigned 05/15/2013
| Authorized Official | RAY, HEATHER (VP) |
| NPI Enumeration Date | 05/15/2013 |
Other providers sharing the same authorized official: RAY, HEATHER
| Provider | City | State | Total Paid |
|---|---|---|---|
| FLORIDA HOSPITAL HOME INFUSION, LLP | LONGWOOD | FL | $161K |
| RAY OF SUNSHINE PEDIATRIC THERAPY, LLC | HACKETT | AR | $47K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 45 | $711.91 |
| 2024 | 44 | $550.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 89 | 63 | $1K |