WILLIAMSBURG LANDING OPERATOR, LLC
NPI: 1851009120
· WILTON MANORS, FL 33305
· Assisted Living Facility
· NPI assigned 11/07/2022
$488K
Total Medicaid Paid
Provider Details
| Authorized Official | RABOLD, THOMAS (MANAGING PARTNER) |
| NPI Enumeration Date | 11/07/2022 |
Related Entities
Other providers sharing the same authorized official: RABOLD, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
166 |
$232K |
| 2024 |
180 |
$256K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
346 |
292 |
$488K |