NPIMap

Organization Active NPI

Helios Healthcare, LLC

  • Skilled Nursing Facility
  • Sunnyvale, CA
National Provider Identifier
1770501744
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HELIOS HEALTHCARE, LLC
Practice address
1002 W Fremont Ave
Sunnyvale, CA 94087-3031
Phone
(408) 739-2383
Fax
(408) 739-8794
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mrs. Michelle Smith
Title
Executive Director Reimbursement
Phone
(209) 955-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1002 W Fremont Ave
Sunnyvale, CA 94087-3031

Mailing address

7590 Shoreline Dr
Stockton, CA 95219-5455
Phone (209) 955-2328

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05211IMedicaidCA

Other names 1

  • IDYLWOOD CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070905000069 CA Part A Provider - Skilled Nursing Facility 2264341379 Practice locations: Sunnyvale, CA

Skilled nursing facility certification: CCN 055211

Legal name
HELIOS HEALTHCARE, LLC
Doing business as
IDYLWOOD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 11, 2025
Beds
185
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 1, 2007
Organization structure
LLCProprietary
Incorporated
Feb 21, 2003 in CA
Enrollment address
1002 W Fremont Ave
Sunnyvale, CA 94087-3031
Nursing home name
IDYLWOOD CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Idylwood Care CenterCCN 055211
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
185145.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Helios Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Individual Adp of the SNF Aug 1, 2016
George C Lytal Individual 5% Or Greater Direct Ownership InterestPresident & Ceo Feb 21, 2003 49.5%
Adp of the SNF Jan 29, 1993
Direct Ownership Interest Feb 21, 2003 49.5%
Crestwood Behavioral Health, Inc. Organization, Sacramento, CA Corporation Operational/Managerial Control Jul 1, 2007
Adp of the SNF Jul 29, 2025
Idylwood Hospital Organization, Sacramento, CA Adp of the SNF Jan 27, 1993
Eleuteria Briosos Individual Operational/Managerial Control Sep 10, 2016
Individual Adp of the SNF Aug 1, 1977
Helios Healthcare, LLC Organization, Sacramento, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 21, 2003 100%
Operational/Managerial Control Jul 1, 2007
Organization, Kennett Square, PA LLC Adp of the SNF Aug 19, 2025
Individual Adp of the SNF Aug 1, 1977
Individual Adp of the SNF Jan 29, 1993
Direct Ownership Interest Feb 21, 2003 1%
James M Dobbins Individual 5% Or Greater Direct Ownership Interest Feb 21, 2003 49.5%
Adp of the SNF Jan 29, 1993
Direct Ownership Interest Feb 21, 2003 49.5%
Individual Adp of the SNF Nov 8, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1770501744",
    "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": "1002 W FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873031",
            "telephone_number": "408-739-2383",
            "fax_number": "408-739-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIOS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "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": "209-955-2364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05211I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDYLWOOD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IDYLWOOD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.