Active NPI
Helia Healthcare of Belleville LLC
- Skilled Nursing Facility
- Belleville, IL
National Provider Identifier
1760667208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0048827
- Legal business name
- HELIA HEALTHCARE OF BELLEVILLE LLC
- Practice address
- 40 N 64TH St
Belleville, IL 62223-3808 - Phone
- (618) 397-8400
- NPI assigned
- Jan 3, 2008
- Last updated
- Mar 18, 2024
- 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
- Mr. Michael Jason Mills
- Title
- Cfo
- Phone
- (314) 317-2003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0048827 | IL | Primary |
Addresses
Primary practice location
40 N 64TH St
Belleville, IL 62223-3808
Mailing address
500 NW Plaza Dr Ste 712
Saint Ann, MO 63074-2222
Phone (314) 566-0459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0858896 | Helia Healthcare of Belleville | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1760667208",
"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": "314-566-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N 64TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233808",
"telephone_number": "618-397-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELIA HEALTHCARE OF BELLEVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"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": "IL",
"license": "0048827",
"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 Belleville, 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 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.