NPI: 1548817620 · BLOOMINGTON, MN 55420 · Nursing Facility/Intermediate Care Facility · NPI assigned 08/22/2019
| Authorized Official | HARUT, ZAHNIA (OWNER) |
| NPI Enumeration Date | 08/22/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,199 | $921K |
| 2022 | 6,049 | $2.45M |
| 2023 | 12,804 | $3.37M |
| 2024 | 1,343 | $263K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 8,345 | 296 | $3.72M |
| 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) | 14,050 | 518 | $3.28M |