Healing Mantle, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HEALING MANTLE, LLC

Practice address

5117 Jacks Blvd
Champaign, IL 61822-3656

Phone

(217) 318-1860

NPI assigned

Aug 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ina Medina Williams, RNNPI 1255221057

Title

Managing Member

Phone

(217) 318-1860

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ina Medina Williams, MPH, RN

  • Registered Nurse
  • Champaign, IL
  • NPI 1255221057
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1104700111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 JACKS BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223656",
            "telephone_number": "217-318-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 JACKS BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223656",
            "telephone_number": "217-318-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MANTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "INA",
        "authorized_official_middle_name": "MEDINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "217-318-1860",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles K Hawley, MD
• Michael Hawn
• Frederick P. Haynes, M.D.
• Kathryn Haynes, ATC
• Mingzhen He, DDS
• Health Services Consultants Inc
• Healthsource Chiropractic of Champaign, S.C.
• Robert M Healy, MD
• Hearing Professionals of America LLC
• Heartland Family Dental Care of Illinois, PC

• Nursing Care Agency in Champaign, IL
• Providers in Champaign, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.