NPI: 1801584784 · HOOKSETT, NH 03106 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 04/27/2023
| Authorized Official | BIST, BOBBY (ADMINISTRATOR) |
| NPI Enumeration Date | 04/27/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 4,275 | $2.50M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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) | 1,998 | 127 | $2.05M |
| T2021 | Day habilitation, waiver; per 15 minutes | 2,277 | 109 | $454K |