Active NPI
Helia Healthcare of Benton, LLC
- Skilled Nursing Facility
- Benton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 005231
- Legal business name
- HELIA HEALTHCARE OF BENTON, LLC
- Practice address
- 1310 Mark Franklin Dr
Benton, IL 62812-2049 - Phone
- (618) 493-3500
- NPI assigned
- Mar 27, 2008
- 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
- Stephen Miller
- Title
- Principal
- Phone
- (312) 994-2306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 005231 | IL | Primary |
Addresses
Primary practice location
1310 Mark Franklin Dr
Benton, IL 62812-2049
Mailing address
1310 Mark Franklin Dr
Benton, IL 62812-2049
Phone (618) 493-3500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081028000441 | IL | Part A Provider - Skilled Nursing Facility | 0840358321 | Practice locations: Benton, IL |
Skilled nursing facility certification: CCN 146088
- Legal name
- HELIA HEALTHCARE OF BENTON, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 12, 2005
- Last certification
- May 22, 2025
- Beds
- 83
- Ownership / control type
- Corporation
- Multi-facility organization
- Bridesmark Healthare
- Most recent change of ownership
- Aug 15, 2008
- Organization structure
- LLC
- Incorporated
- Jun 3, 2004 in IL
- Enrollment address
- 1310 Mark Franklin Louis St
Benton, IL 62812 - Nursing home name
- HELIA HEALTHCARE OF BENTON
- Affiliated entity
- HELIA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Helia Healthcare of Benton
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 12, 2005
- Medicare certification status
- Active
- Certified beds
- 83
- Chain
- Helia Healthcare
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.
-
- Skilled Nursing Facility
- Benton, IL
- NPI 1013272285
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Loretta Ellis | W-2 Managing Employee | Jan 1, 2017 | |
| Stephen P Miller | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 100% |
| Michael Jason Mills | Corporate Officer | Nov 30, 2018 | |
| Operational/Managerial Control | Nov 30, 2018 | ||
| Michael Parentin | Corporate Officer | Apr 1, 2003 | |
| Bridgemark Healthcare, LLC | Operational/Managerial Control | Apr 1, 2003 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Energy, IL
- NPI 1043217870
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": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1497927735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 MARK FRANKLIN DR",
"city": "BENTON",
"state": "IL",
"postal_code": "628122049",
"telephone_number": "618-493-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MARK FRANKLIN DR",
"city": "BENTON",
"state": "IL",
"postal_code": "628122049",
"telephone_number": "618-493-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELIA HEALTHCARE OF BENTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "312-994-2306"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "005231",
"primary": true
}
],
"identifiers": [],
"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": []
}
Other providers in Benton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.