Organization Active NPI

Helia Healthcare of Jerseyville LLC

Doing business as Jerseyville Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Jerseyville, IL
National Provider Identifier
1114915675
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1584531 Issued in IL
Legal business name
HELIA HEALTHCARE OF JERSEYVILLE LLC
Doing business as
Jerseyville Nursing and Rehabilitation Center
Practice address
1001 S State St
Jerseyville, IL 62052-2361
Phone
(618) 498-6496
Fax
(618) 498-7435
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Stephen P Miller
Title
Principal/Member
Phone
(312) 994-2306

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1584531 IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1001 S State St
Jerseyville, IL 62052-2361

Mailing address

500 NW Plaza Dr Ste 712
Saint Ann, MO 63074-2222
Phone (314) 317-2003

Other identifiers 1

IdentifierTypeStateIssuer
371323741002MedicaidIL

Other names 1

  • Jerseyville Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527002329 IL Part A Provider - Skilled Nursing Facility 3072833300 Practice locations: Jerseyville, IL

Skilled nursing facility certification: CCN 145465

Legal name
HELIA HEALTHCARE OF JERSEYVILLE LLC
Doing business as
JERSEYVILLE NSG & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1983
Last certification
Feb 28, 2025
Beds
111
Ownership / control type
Corporation
Most recent change of ownership
Mar 1, 2015
Organization structure
LLCProprietary
Incorporated
May 15, 2006 in IL
Enrollment address
1001 South State St
Jerseyville, IL 62052-2361
Nursing home name
JERSEYVILLE NSG & REHAB CENTER
Affiliated entity
HELIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jerseyville NSG & Rehab CenterCCN 145465 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11155.6 residents per day on average
Chain
Helia Healthcare13 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
10Fines totaling $399,920

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0666665Jerseyville Nursing & Rehabilitation Ctr Inc1001 S State St, Jerseyville, IL 62052Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1001 S State St
Jerseyville, IL 62052
Phone (618) 498-4696

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen P Miller Individual 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Corporate OfficerPresident Mar 1, 2015 100%
W-2 Managing EmployeePresident Mar 1, 2015 100%
Michael Jason Mills Individual Corporate OfficerCfo Jan 1, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1114915675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW PLAZA DR STE 712",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742222",
            "telephone_number": "314-317-2003",
            "fax_number": "312-896-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522361",
            "telephone_number": "618-498-6496",
            "fax_number": "618-498-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIA HEALTHCARE OF JERSEYVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRINCIPAL/MEMBER",
        "authorized_official_telephone_number": "312-994-2306"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1584531",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371323741002",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jerseyville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jerseyville, IL

Sources for this page

Verify at the official NPI Registry.