NPI: 1407203185 · KALAMAZOO, MI 49001 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 05/23/2016
| Authorized Official | WILLIAMS-SULAIMAN, SAUNDRA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/23/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 175 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 87 | 24 | $73K |
| 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) | 88 | 24 | $35K |