IVY COURT - COEUR D'ALENE, LLC
NPI: 1518470343
· COEUR D ALENE, ID 83814
· Skilled Nursing Facility
· NPI assigned 11/15/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | JACOBS, DOV (MANAGER) |
| NPI Enumeration Date | 11/15/2017 |
Related Entities
Other providers sharing the same authorized official: JACOBS, DOV
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
30 |
$0.00 |
| 2019 |
110 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
110 |
24 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |