NPI: 1720478407 · MOOSE LAKE, MN 55767 · Assisted Living Facility · NPI assigned 02/02/2015
| Authorized Official | KITTELSON, CRAIG (CFO) |
| NPI Enumeration Date | 02/02/2015 |
Other providers sharing the same authorized official: KITTELSON, CRAIG
| Provider | City | State | Total Paid |
|---|---|---|---|
| AUGUSTANA COMMUNITY PARTNERS | MINNEAPOLIS | MN | $10.70M |
| AUGUSTANA COMMUNITY PARTNERS | MINNEAPOLIS | MN | $7.28M |
| AUGUSTANA ELK RUN ASSISTED LIVING LLC | EVERGREEN | CO | $719K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,795 | $130K |
| 2023 | 3,497 | $397K |
| 2024 | 2,078 | $446K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 7,370 | 347 | $972K |