Active NPI
Helios Healthcare, LLC
Doing business as Elk Grove Care & Rehabilitation Center
- Parenteral & Enteral Nutrition Supplies (DME)
- Elk Grove, CA
National Provider Identifier
1265451348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 4935510012
- Legal business name
- HELIOS HEALTHCARE, LLC
- Doing business as
- Elk Grove Care & Rehabilitation Center
- Practice address
- 9461 Batey Ave
Elk Grove, CA 95624-2005 - Phone
- (916) 685-9525
- Fax
- (916) 685-3373
- NPI assigned
- Jul 19, 2006
- Last updated
- Sep 16, 2025
- 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
- Michelle Smith
- Title
- Executive Director Reimbursement
- Phone
- (209) 955-2316
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 4935510012 | CA | Primary |
Addresses
Primary practice location
9461 Batey Ave
Elk Grove, CA 95624-2005
Mailing address
7590 Shoreline Dr
Stockton, CA 95219-5455
Phone (209) 955-2328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4935510012 | Other | CA | PART B SUPPLIER |
| ZZR05308I | Medicaid | CA |
Other names 1
- ELK GROVE CARE & REHABILITATION CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Helios Healthcare LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1205602182
-
dba Idylwood Care Center
- Skilled Nursing Facility
- Sunnyvale, CA
- NPI 1770501744
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Idylwood Care Center
- Skilled Nursing Facility
- Sunnyvale, CA
- NPI 1770501744
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1265451348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7590 SHORELINE DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952195455",
"telephone_number": "209-955-2328",
"fax_number": "209-478-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9461 BATEY AVE",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242005",
"telephone_number": "916-685-9525",
"fax_number": "916-685-3373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELIOS HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "209-955-2316"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CA",
"license": "4935510012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PART B SUPPLIER",
"identifier": "4935510012",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR05308I",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELK GROVE CARE & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.