PUEBLO WEST ASSISTED LIVING, LLC
NPI: 1649231648
· PUEBLO WEST, CO 81007
· Assisted Living Facility
· NPI assigned 03/29/2006
$513K
Total Medicaid Paid
Provider Details
| Authorized Official | KANEN, DONALD (CFO) |
| NPI Enumeration Date | 03/29/2006 |
Related Entities
Other providers sharing the same authorized official: KANEN, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
297 |
$326K |
| 2019 |
164 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
461 |
440 |
$513K |