JOHNSON HOME ASSISTED LIVING, INC.
NPI: 1447615968
· PUEBLO, CO 81003
· Assisted Living Facility (Mental Illness)
· NPI assigned 12/28/2015
$589K
Total Medicaid Paid
Provider Details
| Authorized Official | SPICOLA, PAUL (VICE-PRESIDENT) |
| NPI Enumeration Date | 12/28/2015 |
Related Entities
Other providers sharing the same authorized official: SPICOLA, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
438 |
$351K |
| 2019 |
291 |
$238K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
729 |
394 |
$589K |