Active NPI
Helia Healthcare of Energy, LLC
- Skilled Nursing Facility
- Energy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0046672
- Legal business name
- HELIA HEALTHCARE OF ENERGY, LLC
- Practice address
- 210 College
Energy, IL 62933 - Phone
- (618) 942-7014
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen P. Miller
- Title
- Member
- Phone
- (312) 994-2306
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 0046672 | IL | |
| Skilled Nursing Facility | 314000000X | 0046672 | IL | Primary |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0046672 | IL |
Addresses
Primary practice location
210 College
Energy, IL 62933
Mailing address
210 E College St
Energy, IL 62933-3568
Phone (312) 994-2306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046672 | Other | IL | FACILITY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040628000118 | IL | Part A Provider - Skilled Nursing Facility | 4385620632 | Practice locations: Energy, IL |
Skilled nursing facility certification: CCN 146045
- Legal name
- HELIA HEALTHCARE OF ENERGY LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 14, 2003
- Last certification
- Nov 26, 2024
- Beds
- 139 (98 certified)
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Dec 1, 2003 in IL
- Enrollment address
- 210 E College St
Energy, IL 62933-3568 - Nursing home name
- HELIA HEALTHCARE OF ENERGY
- Affiliated entity
- HELIA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Helia Healthcare of Energy
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 14, 2003
- Medicare certification status
- Active
- Certified beds
- 98
- Chain
- Helia Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 9
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Energy, IL
- NPI 1366742793
Locations
210 E College St
Energy, IL 62933
Phone (618) 942-7014
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen P Miller | 5% Or Greater Direct Ownership Interest | Dec 1, 2003 | 100% |
| Operational/Managerial Control | Dec 1, 2003 | 100% | |
| Michael Jason Mills | Corporate Officer | Jan 1, 2017 | |
| Lana Jo Younger | W-2 Managing Employee | Jul 31, 2019 | 100% |
| Bridgemark Healthcare, LLC | Operational/Managerial Control | Apr 16, 2008 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Benton, IL
- NPI 1497927735
Bridgemark Healthcare, LLC
-
- Skilled Nursing Facility
- Olney, IL
- NPI 1336463504
Bridgemark Healthcare, LLC
-
- Skilled Nursing Facility
- Yorkville, IL
- NPI 1043449374
Bridgemark Healthcare, LLC
-
- Skilled Nursing Facility
- Belleville, IL
- NPI 1982855052
Bridgemark Healthcare, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1043217870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E COLLEGE ST",
"city": "ENERGY",
"state": "IL",
"postal_code": "629333568",
"telephone_number": "312-994-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 COLLEGE",
"city": "ENERGY",
"state": "IL",
"postal_code": "62933",
"telephone_number": "618-942-7014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELIA HEALTHCARE OF ENERGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "312-994-2306",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "IL",
"license": "0046672",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0046672",
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IL",
"license": "0046672",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY LICENSE NUMBER",
"identifier": "0046672",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Energy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.