BENCHMARK VALLEY LLC
NPI: 1427537091
· LAVEEN, AZ 85339
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 08/14/2018
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | MWANGI, TITUS (ADMINISTRATOR) |
| NPI Enumeration Date | 08/14/2018 |
Related Entities
Other providers sharing the same authorized official: MWANGI, TITUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
25 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
25 |
14 |
$110K |