NPI: 1851893176 · GRAND RAPIDS, MI 49506 · Adult Care Home Facility · NPI assigned 03/02/2018
| Authorized Official | BENNETT, RANDAL (CFO) |
| NPI Enumeration Date | 03/02/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 213 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 107 | 33 | $80K |
| 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) | 106 | 32 | $14K |