NPI: 1568225092 · WADSWORTH, OH 44281 · Assisted Living Facility · NPI assigned 02/06/2024
| Authorized Official | BERGHOFF, SHERRI (ASSISTANT) |
| NPI Enumeration Date | 02/06/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 108 | $359K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 108 | 105 | $359K |