NPI: 1396482329 · LAKE WALES, FL 33853 · Assisted Living Facility · NPI assigned 05/20/2022
| Authorized Official | CARVAJAL, PILAR (CEO) |
| NPI Enumeration Date | 05/20/2022 |
Other providers sharing the same authorized official: CARVAJAL, PILAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| HAINES CITY SLC OPCO LLC | HAINES CITY | FL | $500K |
| VIP CARE PAVILION, LLC | MARGATE | FL | $127K |
| WELLINGTON SLC OPCO, LLC | WELLINGTON | FL | $57K |
| BARTOW SLC OPCO, LLC | BARTOW | FL | $33K |
| ISM-HERITAGE HOUSE ALF, LLC | CLEARWATER | FL | $14K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 51 | $68K |
| 2023 | 274 | $297K |
| 2024 | 119 | $170K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 444 | 377 | $535K |