JEROME HOME
NPI: 1558424168
· NEW BRITAIN, CT 06052
· Nursing Facility/Intermediate Care Facility
· NPI assigned 12/18/2006
$126.36
Total Medicaid Paid
Provider Details
| Authorized Official | CONNOLLY, LISA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/18/2006 |
Related Entities
Other providers sharing the same authorized official: CONNOLLY, LISA
| Provider | City | State | Total Paid |
|---|
| JEROME HOME |
NEW BRITAIN |
CT |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
18 |
$126.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99307 |
|
18 |
12 |
$126.36 |