NPI: 1699701045 · FT WORTH, TX 76104 · Community Based Hospice Care Agency · NPI assigned 06/25/2006
| Authorized Official | VANDEN HULL, ERIC (VP, FINANCE) |
| NPI Enumeration Date | 06/25/2006 |
Other providers sharing the same authorized official: VANDEN HULL, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | MANDAN | ND | $220.58 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | DAYTONA BEACH | FL | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 15 | 12 | $22K |