NORTH SHORE RETIREMENT COMMUNITY
NPI: 1588227995
· LAKESIDE, OH 43440
· Assisted Living Facility
· NPI assigned 04/22/2019
$410K
Total Medicaid Paid
Provider Details
| Authorized Official | GREEN, JAMES (TREASURER & CFO) |
| Parent Organization | NORTH SHORE RETIREMENT COMMUNITY |
| NPI Enumeration Date | 04/22/2019 |
Related Entities
Other providers sharing the same authorized official: GREEN, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
24 |
$32K |
| 2024 |
141 |
$378K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
165 |
160 |
$410K |