NPI: 1659030591 · IRON RIVER, MI 49935 · Clinical Psychologist · NPI assigned 12/08/2021
| Authorized Official | LICHTSCHEIN, RAPHAEL (PRESIDENT) |
| NPI Enumeration Date | 12/08/2021 |
Other providers sharing the same authorized official: LICHTSCHEIN, RAPHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUPPORTIVE CARE OF MARYLAND LLC | RIVERDALE | MD | $601K |
| SUPPORTIVE BEHAVIORAL CARE OF MA LLC | BOSTON | MA | $486K |
| STEP UP CARE OF TENNESSEE LLC | MEMPHIS | TN | $346K |
| SUPPORTIVE CARE OF MARYLAND LLC | BALTIMORE | MD | $177K |
| SUPPORTIVE CARE OF VIRGINIA LLC | COLONIAL HEIGHTS | VA | $86K |
| SUPPORTIVE CARE OF VERMONT LLC | RICHMOND | VT | $22K |
| SUPPORTIVE CARE OF NEW HAMPSHIRE LLC | DERRY | NH | $6K |
| SUPPORTIVE CARE OF SOUTH CAROLINA LLC | MT PLEASANT | SC | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $739.07 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 15 | 13 | $739.07 |