NPI: 1730764697 · MOUNTAIN VIEW, AR 72560 · Assisted Living Facility · NPI assigned 03/12/2021
| Authorized Official | GANZ, YISROEL (INCORPORATOR) |
| NPI Enumeration Date | 03/12/2021 |
Other providers sharing the same authorized official: GANZ, YISROEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| HAMMONS AVENUE OPERATING LLC | BERRYVILLE | AR | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 29 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 29 | 25 | $50K |