TANGERINE COVE OF BROOKSVILLE BSLC LLC
NPI: 1356765952
· BROOKSVILLE, FL 34601
· Assisted Living Facility
· NPI assigned 02/18/2014
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | ROJAS, LIZA (MANAGER) |
| NPI Enumeration Date | 02/18/2014 |
Related Entities
Other providers sharing the same authorized official: ROJAS, LIZA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
92 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
92 |
73 |
$114K |