NPI: 1922617505 · PALM COAST, FL 32137 · Assisted Living Facility · NPI assigned 07/29/2020
98% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | DEETER, DERICK (MANAGER) |
| NPI Enumeration Date | 07/29/2020 |
Other providers sharing the same authorized official: DEETER, DERICK
| Provider | City | State | Total Paid |
|---|---|---|---|
| DELTONA ALF MANAGEMENT | DELTONA | FL | $3.54M |
| ORMOND ALF MANAGEMENT, LLC | ORMOND BEACH | FL | $3.30M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 201 | $211K |
| 2022 | 581 | $633K |
| 2023 | 481 | $648K |