LEGACY SENIOR MANAGEMENT LLC
NPI: 1780177535
· MESA, AZ 85205
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/07/2018
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | LEACH, MARY (COE) |
| NPI Enumeration Date | 06/07/2018 |
Related Entities
Other providers sharing the same authorized official: LEACH, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
56 |
$101K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
56 |
34 |
$101K |