NPI: 1477927440 · TRINIDAD, CO 81082 · Assisted Living Facility · NPI assigned 11/13/2015
| Authorized Official | BEARDSLEY, DAVID (PRESIDENT) |
| NPI Enumeration Date | 11/13/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 185 | $156K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 185 | 112 | $156K |