NPI: 1649734906 · SMYRNA, TN 37167 · Assisted Living Facility · NPI assigned 01/30/2019
| Authorized Official | DAVIDSON, ANGELA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/30/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 62 | $46K |
| 2022 | 78 | $99K |
| 2023 | 65 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 205 | 187 | $238K |