NPI: 1558366146 · WHEATON, MN 56296 · Skilled Nursing Facility · NPI assigned 06/20/2005
| Authorized Official | LUNDE, ERIC (BOARD MEMBER) |
| NPI Enumeration Date | 06/20/2005 |
Other providers sharing the same authorized official: LUNDE, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| LSS OF MADISON LLC | MADISON | WI | $89K |
| LEGACY SENIOR SERVICES | FRAZEE | MN | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 260 | $8K |
| 2021 | 78 | $3K |
| 2022 | 156 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 494 | 150 | $16K |