NPI: 1841577103 · OAK PARK, MI 48237 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 11/14/2011
| Authorized Official | NELSON, THERESSA (ADMINISTRATOR) |
| NPI Enumeration Date | 11/14/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 253 | $561K |
| 2019 | 206 | $501K |
| 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) | 230 | 188 | $568K |
| H2016 | Comprehensive community support services, per diem | 229 | 187 | $494K |