NPI: 1366438145 · CLEVELAND, OH 44103 · Skilled Nursing Facility · NPI assigned 09/27/2005
| Authorized Official | WILLIAMS, DANNY (PRESIDENT/CEO) |
| Parent Organization | ELIZA BRYANT VILLAGE |
| NPI Enumeration Date | 09/27/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,694 | $115K |
| 2019 | 4,149 | $198K |
| 2020 | 1,078 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5102 | Day care services, adult; per diem | 6,648 | 562 | $336K |
| T2025 | Waiver services; not otherwise specified (nos) | 960 | 88 | $13K |
| T1019 | Personal care services, per 15 minutes, 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) | 313 | 26 | $11K |