NPI: 1376618066 · JEFFERSON CITY, MO 65101 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 11/21/2006
| Authorized Official | CASEY, JIM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $9K |
| 2019 | 101 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0045 | Respite care services, not in the home, per diem | 166 | 25 | $26K |