GUARDIAN ANGELS SUPPORTED LIVING LLC
NPI: 1518457209
· SIKESTON, MO 63801
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 05/17/2018
$728K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARDAWAY, CARRIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,369 |
$728K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, 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) |
2,045 |
96 |
$441K |
| T2016 |
Habilitation, residential, waiver; per diem |
312 |
12 |
$286K |
| T1002 |
Rn services, up to 15 minutes |
12 |
12 |
$1K |