NPI: 1437653789 · MARGATE, FL 33068 · Assisted Living Facility · NPI assigned 03/21/2018
| Authorized Official | CARVAJAL, PILAR (AGENT) |
| NPI Enumeration Date | 03/21/2018 |
Other providers sharing the same authorized official: CARVAJAL, PILAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKE WALES SLC OPCO LLC | LAKE WALES | FL | $535K |
| HAINES CITY SLC OPCO LLC | HAINES CITY | FL | $500K |
| WELLINGTON SLC OPCO, LLC | WELLINGTON | FL | $57K |
| BARTOW SLC OPCO, LLC | BARTOW | FL | $33K |
| ISM-HERITAGE HOUSE ALF, LLC | CLEARWATER | FL | $14K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $19K |
| 2019 | 18 | $14K |
| 2020 | 119 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 153 | 153 | $127K |