ANTONINE VILLAGE
NPI: 1679967244
· NORTH JACKSON, OH 44451
· Assisted Living Facility
· NPI assigned 03/23/2015
$464K
Total Medicaid Paid
Provider Details
| Authorized Official | ISKANDAR, MARIE (PRESIDENT) |
| NPI Enumeration Date | 03/23/2015 |
Related Entities
Other providers sharing the same authorized official: ISKANDAR, MARIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
901 |
$464K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
901 |
111 |
$464K |