FIVE STAR QUALITY CARE - MN, LLC
NPI: 1396918918
· ROGERS, MN 55374
· Alzheimer Center (Dementia Center)
· NPI assigned 04/03/2008
$545K
Total Medicaid Paid
Provider Details
| Authorized Official | MACKEY, BRUCE (CFO) |
| Parent Organization | FIVE STAR QUALITY CAR - MN, LLC |
| NPI Enumeration Date | 04/03/2008 |
Related Entities
Other providers sharing the same authorized official: MACKEY, BRUCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,759 |
$410K |
| 2019 |
1,573 |
$136K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
5,332 |
200 |
$545K |