EUREKA IMPERIAL RESIDENCE
NPI: 1679704381
· GILBERT, AZ 85296
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 07/29/2009
$178K
Total Medicaid Paid
Provider Details
| Authorized Official | TANYI, CORNELIUS (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/29/2009 |
Related Entities
Other providers sharing the same authorized official: TANYI, CORNELIUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
126 |
$174K |
| 2021 |
198 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
324 |
150 |
$178K |