NPI: 1770253114 · HIAWATHA, KS 66434 · Nursing Facility/Intermediate Care Facility · NPI assigned 09/16/2021
| Authorized Official | SHIELDS, STEVE (CEO) |
| NPI Enumeration Date | 09/16/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | 17 | 12 | $9K |