NPI: 1619678059 · YBOR CITY, FL 33605 · Assisted Living Facility · NPI assigned 03/13/2023
| Authorized Official | RODMAN, YANKY (REGIONAL MANAGER) |
| NPI Enumeration Date | 03/13/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 115 | $169K |
| 2024 | 198 | $269K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 313 | 309 | $438K |