MISSOULA ALF OPERATIONS, LLC

NPI: 1609574227 · MISSOULA, MT 59802 · Clinic/Center · NPI assigned 02/22/2023

$675K

Total Medicaid Paid

329

Total Claims

222

Beneficiaries

Codes Billed

2023-08

First Month

2024-10

Last Month

Provider Details

Authorized Official	YENOWITZ, YITZCHOK (AUTHORIZED REPRESENTATIVE)
NPI Enumeration Date	02/22/2023

Other providers sharing the same authorized official: YENOWITZ, YITZCHOK

Provider	City	State	Total Paid
ASPEN MEADOWS ALF OPERATIONS LLC	BILLINGS	MT	$776K
SEATTLE SNF OPERATIONS, LLC	SEATTLE	WA	$40K
WCC OPERATOR LLC	SEATTLE	WA	$7K
EL JEN SNF OPERATIONS LLC	LAS VEGAS	NV	$0.00
ORMSBY SNF OPERATIONS, LLC	CARSON CITY	NV	$0.00
PAHRUMP SNF OPERATIONS, LLC	PAHRUMP	NV	$0.00
MV SNF OPERATIONS, LLC	CARSON CITY	NV	$0.00
GRANITE SNF OPERATIONS, LLC	CHEYENNE	WY	$0.00
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC	CASPER	WY	$0.00
WIND RIVER SNF OPERATIONS, LLC	RIVERTON	WY	$0.00

Year	Claims	Total Paid
2023	128	$215K
2024	201	$461K

Code	Description	Claims	Beneficiaries	Total Paid
T2031	Assisted living; waiver, per diem	329	222	$675K