Organization Active NPI

Helia Healthcare of Salem LLC

Doing business as Doctors Nursing and Rehab Center

  • Skilled Nursing Facility
  • Salem, IL
National Provider Identifier
1730254095
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HELIA HEALTHCARE OF SALEM LLC
Doing business as
Doctors Nursing and Rehab Center
Practice address
1201 Hawthorn Rd
Salem, IL 62881-1028
Phone
(618) 548-4884
Fax
(618) 548-4884
NPI assigned
Nov 22, 2006
Last updated
Mar 18, 2024By the provider in NPPES
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
Mr. Michael Jason Mills
Title
Cfo
Phone
(314) 317-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1201 Hawthorn Rd
Salem, IL 62881-1028

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
412079162001MedicaidIL

Other names 1

  • DOCTORS NURSING AND REHAB 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
O20180604001086 IL Part A Provider - Skilled Nursing Facility 5092070540 Practice locations: Salem, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730254095. Details of each certification follow.

Skilled nursing facility certification: CCN 145247

Legal name
HELIA HEALTHCARE OF SALEM LLC
Doing business as
DOCTORS NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 22, 1972
Last certification
Feb 27, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
not listed
Organization structure
LLCProprietary
Incorporated
Mar 21, 2018 in IL
Enrollment address
1201 Hawthorn Rd
Salem, IL 62881-1028
Nursing home name
DOCTORS NURSING & REHAB CENTER
Affiliated entity
HELIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Doctors Nursing & Rehab CenterCCN 145247 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 22, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12048.7 residents per day on average
Chain
Helia Healthcare13 facilities in the chain
Penalties (3 years)
3Fines totaling $107,564

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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 21, 2018 100%
Corporate OfficerPresident Mar 21, 2018
Michael Jason Mills Individual Contracted Managing EmployeeCfo Mar 21, 2018

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1730254095",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HAWTHORN RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811028",
            "telephone_number": "618-548-4884",
            "fax_number": "618-548-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIA HEALTHCARE OF SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-317-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412079162001",
            "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": "DOCTORS NURSING AND REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, IL

Sources for this page

Verify at the official NPI Registry.