NPI: 1467725234 · BLOOMINGDALE, MI 49026 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 02/09/2012
| Authorized Official | FORBES, REBECCA (SOLE PROPRIETOR) |
| NPI Enumeration Date | 02/09/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 334 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 167 | 12 | $40K |
| 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) | 167 | 12 | $16K |