NPI: 1861727844 · LAKEWOOD, OH 44107 · Assisted Living Facility · NPI assigned 10/09/2009
| Authorized Official | KANTOR, SCOTT (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 10/09/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $149K |
| 2020 | 200 | $298K |
| 2021 | 135 | $196K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 430 | 412 | $642K |