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Provider Demographic Information - JAMI RESIDENCES LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	JAMI RESIDENCES LLC
Address:	N/A
Phone:	(267) 228-1905
Fax:	(215) 430-0878
E-mail:	rsharif@barrms.com
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Regional/Field Office	Counties Served:
Name:	Jami Residences
Address:	191 Presidential Boulevard Suite W-8 Bala Cynwyd, PA 19004-0000
Phone:	(267) 228-1905
Fax:	(215) 430-0878

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Delaware
\|Service Name / Level	\|Rate

Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite, Non-Waiver Setting/PLF, NG 1	Not Set
Respite, Non-Waiver Setting/PLF, NG 2	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day

County : Philadelphia
\|Service Name / Level	\|Rate

Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 - $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Respite, Non-Waiver Setting/PLF, NG 1	Not Set
Respite, Non-Waiver Setting/PLF, NG 2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Supported Living-1 Person-NG1	$160.19 / 1 Day
Supported Living-1 Person-NG2	$268.46 / 1 Day
Supported Living-1 Person-NG3	$428.64 / 1 Day
Supported Living-1 Person-NG4	$576.34 / 1 Day
Supported Living-2 Person-NG1	$112.14 / 1 Day
Supported Living-2 Person-NG2	$214.77 / 1 Day
Supported Living-2 Person-NG3	$358.94 / 1 Day
Supported Living-2 Person-NG4	$576.34 / 1 Day

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