NPI: 1962070250 · NORTH CONWAY, NH 03860 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 06/14/2021
| Authorized Official | SHERRY, GARRY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 06/14/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,996 | $1.65M |
| 2024 | 1,461 | $3.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 1,693 | 429 | $4.08M |
| T2021 | Day habilitation, waiver; per 15 minutes | 1,764 | 243 | $598K |