NPI: 1386944064 · ST PETERSBURG, FL 33704 · Assisted Living Facility (Mental Illness) · NPI assigned 10/27/2010
| Authorized Official | MCNULTY, NELLY (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 10/27/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 476 | $401K |
| 2020 | 376 | $345K |
| 2021 | 35 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 566 | 560 | $669K |
| T1020 | Personal care services, per diem, 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) | 308 | 295 | $103K |
| T2031 | Assisted living; waiver, per diem | 13 | 13 | $3K |