NPI: 1548995541 · ANAHEIM, CA 92805 · Adult Care Home Facility · NPI assigned 07/22/2022
| Authorized Official | ENCARNACION, DANTE (ADMINISTRATOR) |
| NPI Enumeration Date | 07/22/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 290 | $828K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 290 | 250 | $828K |