LILYDALE SENIOR LIVING LLC
NPI: 1548510126
· SAINT PAUL, MN 55118
· Assisted Living Facility
· NPI assigned 09/11/2012
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | LEMIEUX, LANCE (PRESIDENT) |
| NPI Enumeration Date | 09/11/2012 |
Related Entities
Other providers sharing the same authorized official: LEMIEUX, LANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,119 |
$77K |
| 2019 |
385 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
1,504 |
51 |
$104K |