NPI: 1841063963 · PORT ORANGE, FL 32127 · Assisted Living Facility (Mental Illness) · NPI assigned 10/31/2023
| Authorized Official | BORAD, SAMIP (CEO & OWNER) |
| NPI Enumeration Date | 10/31/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 42 | $14K |
| 2024 | 82 | $29K |
| 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) | 124 | 113 | $43K |