NPI: 1508387374 · EDGEWOOD, MD 21040 · Community/Behavioral Health Agency · NPI assigned 07/03/2017
| Authorized Official | OMOTOSHO, JAMES (OWNER) |
| NPI Enumeration Date | 07/03/2017 |
Other providers sharing the same authorized official: OMOTOSHO, JAMES
| Provider | City | State | Total Paid |
|---|---|---|---|
| OPTIMUM HEALTH SYSTEMS, INC | BALTIMORE | MD | $431K |
| AVAWELL, LLC | EDGEWOOD | MD | $333K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 163 | $110K |
| 2019 | 227 | $133K |
| 2020 | 56 | $25K |
| 2022 | 25 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0044 | Supported housing, per month | 471 | 462 | $285K |