NPI: 1669552931 · DEARBORN HEIGHTS, MI 48127 · Exclusive Provider Organization · NPI assigned 10/17/2006
| Authorized Official | JACKSON, SANDRA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,382 | $662K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 5,683 | 196 | $574K |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 5,699 | 196 | $88K |