INDEPENDENCE HALL OPERATOR, LLC
NPI: 1689382954
· WILTON MANORS, FL 33305
· Assisted Living Facility
· NPI assigned 11/07/2022
$481K
Total Medicaid Paid
Provider Details
| Authorized Official | RABOLD, THOMAS (MANAGING PARTNER) |
| NPI Enumeration Date | 11/07/2022 |
Related Entities
Other providers sharing the same authorized official: RABOLD, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
200 |
$228K |
| 2024 |
190 |
$253K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
390 |
283 |
$481K |