NPI: 1366168296 · FORESTVILLE, CA 95436 · Assisted Living Facility · NPI assigned 10/12/2022
| Authorized Official | VARSHAVSKY, ALEXANDER (LICENSEE) |
| NPI Enumeration Date | 10/12/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 60 | $171K |
| 2024 | 4,013 | $806K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 4,073 | 209 | $977K |