SH NORTHDALE, LLC
NPI: 1558908855
· TAMPA, FL 33618
· Assisted Living Facility
· NPI assigned 12/05/2019
$296K
Total Medicaid Paid
Provider Details
| Authorized Official | WALKER, SETH (CFO) |
| NPI Enumeration Date | 12/05/2019 |
Related Entities
Other providers sharing the same authorized official: WALKER, SETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
28 |
$32K |
| 2023 |
167 |
$223K |
| 2024 |
29 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
224 |
207 |
$296K |