NPI: 1366400103 · HUDSON, OH 44236 · Skilled Nursing Facility · NPI assigned 05/02/2006
| Authorized Official | BERGSTEN, PAUL (VP) |
| NPI Enumeration Date | 05/02/2006 |
Other providers sharing the same authorized official: BERGSTEN, PAUL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WOODRIDGE HEALTHCARE LLC | FAIRFIELD | OH | $1.24M |
| PORTSMOUTH HEALTHCARE LLC | PORTSMOUTH | OH | $13K |
| CRYSTAL CARE OF IRONTON, LLC | COAL GROVE | OH | $3K |
| HERITAGE HEALTHCARE LLC | MINSTER | OH | $907.56 |
| TOLEDO HEALTHCARE LLC | TOLEDO | OH | $323.47 |
| JACKSON HEALTHCARE LLC | JACKSON | OH | $233.53 |
| BELLEFONTAINE HEALTHCARE LLC | BELLEFONTAINE | OH | $0.00 |
| GREENVILLE HEALTHCARE LLC | GREENVILLE | OH | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $22K |
| 2019 | 109 | $164K |
| 2020 | 38 | $117.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 159 | 141 | $186K |