HEAVENLY ASSISTED LIVING, INC.
NPI: 1407467806
· PORT ORANGE, FL 32127
· Assisted Living Facility
· NPI assigned 08/11/2020
$437K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
14 |
$4K |
| 2022 |
131 |
$236K |
| 2023 |
117 |
$196K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
132 |
132 |
$397K |
| 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) |
130 |
115 |
$39K |