NPI: 1780134346 · HAUULA, HI 96717 · Assisted Living Facility · NPI assigned 10/07/2016
| Authorized Official | CHEN, ALBERT (OFFICER) |
| NPI Enumeration Date | 10/07/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 214 | $19K |
| 2019 | 345 | $0.00 |
| 2020 | 321 | $0.00 |
| 2021 | 123 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 1,003 | 878 | $19K |