NPI: 1992045868 · WELLINGTON, FL 33414 · Assisted Living Facility · NPI assigned 02/28/2013
| Authorized Official | GUTIERREZ, RICARDO (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 02/28/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 21 | $15K |
| 2020 | 117 | $134K |
| 2021 | 38 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 176 | 164 | $198K |