1061 VIRGINIA ST OPCO LLC
NPI: 1417729732
· DUNEDIN, FL 34698
· Skilled Nursing Facility
· NPI assigned 10/30/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FREUND, NATHAN (MANAGER) |
| NPI Enumeration Date | 10/30/2023 |
Related Entities
Other providers sharing the same authorized official: FREUND, NATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
28 |
16 |
$0.00 |