NPI: 1790819514 · PLYMOUTH, MI 48170 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/15/2007
| Authorized Official | STLOUIS, NEVA (PRESIDENT) |
| NPI Enumeration Date | 03/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,902 | $2.75M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0043 | Supported housing, per diem | 10,983 | 398 | $2.25M |
| H2016 | Comprehensive community support services, per diem | 3,275 | 120 | $353K |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 3,644 | 132 | $145K |