HEART MOUNTAIN HOME CARE LLC

Day Training, Developmentally Disabled Services

Code: 251C00000X

Nursing Care

Code: 251J00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Intermediate Care Facility, Mental Illness

Code: 310500000X

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

Skilled Nursing Facility

Code: 314000000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Respite Care

Code: 385H00000X

Respite Care — Respite Care Camp

Code: 385HR2050X

Respite Care — Respite Care, Mental Illness, Child

Code: 385HR2055X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Respite Care — Respite Care, Physical Disabilities, Child

Code: 385HR2065X

Assisted Living Facility — Assisted Living, Mental Illness

Code: 3104A0625X