NPI: 1689188963 · CLEARWATER, FL 33764 · Assisted Living Facility · NPI assigned 11/26/2017
| Authorized Official | CARVAJAL, PILAR (CEO) |
| NPI Enumeration Date | 11/26/2017 |
Other providers sharing the same authorized official: CARVAJAL, PILAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKE WALES SLC OPCO LLC | LAKE WALES | FL | $535K |
| HAINES CITY SLC OPCO LLC | HAINES CITY | FL | $500K |
| VIP CARE PAVILION, LLC | MARGATE | FL | $127K |
| WELLINGTON SLC OPCO, LLC | WELLINGTON | FL | $57K |
| BARTOW SLC OPCO, LLC | BARTOW | FL | $33K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 12 | $14K |