NPI: 1881259547 · PORT ORANGE, FL 32127 · Assisted Living Facility · NPI assigned 05/07/2019
| Authorized Official | PTAK, MALGORZATA (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 05/07/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 89 | $96K |
| 2021 | 95 | $121K |
| 2022 | 114 | $140K |
| 2023 | 114 | $175K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 412 | 402 | $531K |