NPI: 1952814311 · PROVIDENCE, RI 02904 · Assisted Living Facility · NPI assigned 11/08/2017
| Authorized Official | LALLY, KAREN (PRESIDENT AND CFO) |
| Parent Organization | CHARLESGATE NORTH APARTMENTS LP |
| NPI Enumeration Date | 11/08/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $20K |
| 2020 | 13 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 29 | 26 | $40K |