NPI: 1700433042 · GREENVILLE, MI 48838 · Assisted Living Facility (Mental Illness) · NPI assigned 08/21/2019
| Authorized Official | DYKSTRA, MIKE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/21/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,843 | $138K |
| 2020 | 4,330 | $350K |
| 2021 | 3,845 | $875K |
| 2022 | 4,204 | $1.02M |
| 2023 | 8,552 | $1.42M |
| 2024 | 5,737 | $1.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 22,371 | 1,651 | $3.98M |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 1,379 | 954 | $710K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 4,761 | 146 | $355K |