NPI: 1639670847 · JACKSONVILLE, FL 32256 · Assisted Living Facility · NPI assigned 02/22/2018
| Authorized Official | FLEMING, AMY (CONTROLLER) |
| NPI Enumeration Date | 02/22/2018 |
Other providers sharing the same authorized official: FLEMING, AMY
| Provider | City | State | Total Paid |
|---|---|---|---|
| EC OPCO XENIA, LLC | XENIA | OH | $181K |
| EC OPCO ASHEBORO LP | ASHEBORO | NC | $151K |
| EC OPCO NORTHRIDGE, LP | RALEIGH | NC | $23K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 12 | 12 | $11K |