NPI: 1609152560 · SURPRISE, AZ 85388 · Assisted Living Facility · NPI assigned 10/24/2011
| Authorized Official | HAGINEAGU, NICOLETA (MEMBER) |
| NPI Enumeration Date | 10/24/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 55 | $114K |
| 2023 | 169 | $389K |
| 2024 | 185 | $466K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 409 | 389 | $970K |