NPI: 1578992392 · ST PETERSBURG, FL 33702 · Assisted Living Facility · NPI assigned 11/02/2013
| Authorized Official | PUTNAM, THERESA (OWNER) |
| NPI Enumeration Date | 11/02/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 181 | $200K |
| 2021 | 136 | $156K |
| 2022 | 572 | $167K |
| 2023 | 266 | $275K |
| 2024 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 1,171 | 636 | $797K |