NPI: 1497282800 · WATERFORD, MI 48328 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 05/16/2017
| Authorized Official | SANNI, OLAYEMI (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 05/16/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,880 | $411K |
| 2023 | 9,913 | $1.95M |
| 2024 | 7,757 | $1.94M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 14,593 | 304 | $3.55M |
| H2016 | Comprehensive community support services, per diem | 3,492 | 124 | $542K |
| 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) | 3,465 | 123 | $211K |