NPI: 1376158568 · JACKSONVILLE, FL 32210 · Assisted Living Facility · NPI assigned 09/14/2020
| Authorized Official | GREENSTEIN, SHLOMO (MANAGING DIRECTOR) |
| NPI Enumeration Date | 09/14/2020 |
Other providers sharing the same authorized official: GREENSTEIN, SHLOMO
| Provider | City | State | Total Paid |
|---|---|---|---|
| CANYON GROVE LLC | ST PETERSBURG | FL | $4.91M |
| NOBLE HOUSE SENIOR LIVING, LLC | JACKSONVILLE | FL | $4.05M |
| CAMELOT CHATEAU ASSISTED LIVING LLC | OCALA | FL | $1.93M |
| ROXBORO ASSISTED LIVING OPCO LLC | ROXBORO | NC | $776K |
| LADY LAKE FL OPCO LLC | LADY LAKE | FL | $198K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 181 | $174K |
| 2022 | 226 | $245K |
| 2023 | 98 | $131K |
| 2024 | 27 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 532 | 451 | $583K |