NPI: 1477927218 · SANTA ROSA, NM 88435 · Assisted Living Facility · NPI assigned 11/17/2015
| Authorized Official | CARDWELL, GARY (ADMINISTRATOR) |
| NPI Enumeration Date | 11/17/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 763 | $390K |
| 2019 | 320 | $256K |
| 2020 | 214 | $170K |
| 2021 | 72 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 1,369 | 575 | $872K |