NPI: 1912477696 · FORT LAUDERDALE, FL 33312 · Assisted Living Facility · NPI assigned 11/26/2018
| Authorized Official | KISSOONLAL, JASON (ADMINISTRATOR) |
| NPI Enumeration Date | 11/26/2018 |
Other providers sharing the same authorized official: KISSOONLAL, JASON
| Provider | City | State | Total Paid |
|---|---|---|---|
| TOTAL CARE MANOR, INC | FORT LAUDERDALE | FL | $3.96M |
| PALMS VILLA RETIREMENT HOME, INC. | OAKLAND PARK | FL | $1.59M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 82 | $61K |
| 2020 | 98 | $136K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 180 | 121 | $197K |