NOBLE GARDENS OF JACKSONVILLE, LLC
NPI: 1639578933
· JACKSONVILLE, FL 32210
· Assisted Living Facility
· NPI assigned 08/22/2014
$178K
Total Medicaid Paid
Provider Details
| Authorized Official | CATE, LALAINE (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 08/22/2014 |
Related Entities
Other providers sharing the same authorized official: CATE, LALAINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
57 |
$57K |
| 2020 |
108 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
165 |
153 |
$178K |