NPI: 1801498357 · MENTONE, CA 92359 · Assisted Living Facility · NPI assigned 11/10/2020
| Authorized Official | BAUER, VIRGINIA (ADMINISTRATOR) |
| NPI Enumeration Date | 11/10/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 87 | $347K |
| 2024 | 104 | $426K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 191 | 188 | $773K |