Helios Healthcare, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

4935510011 Issued in CA

Legal business name

HELIOS HEALTHCARE, LLC

Practice address

6940 Pacific Ave
Stockton, CA 95207-2602

Phone

(209) 477-4817

Fax

(209) 477-0522

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• ELMHAVEN CARE CENTER Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Helios Healthcare, LLC

  • Skilled Nursing Facility
  • Sunnyvale, CA
  • NPI 1770501744

  Member Of

  NPD member

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": "1922027002",
    "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": "6940 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072602",
            "telephone_number": "209-477-4817",
            "fax_number": "209-477-0522"
        }
    ],
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "4935510011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B SUPPLIER",
            "identifier": "4935510011",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05735I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMHAVEN CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Roshawn Heikes
• Marc Alexander Hein
• Nancy Margarita Helbling, LVN
• Helios Healthcare, LLC
• Helios Healthcare, LLC
• Jenna Hellige, PPS
• Sherri Helsby, LCSW
• Jeffrey Tevin Hen, CRNA
• Mikayla Henard
• Christy M. Henderson-Peterson, N.P.

• All providers in Stockton, CA
• Parenteral & Enteral Nutrition Supplies (DME) in California

• 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.

Verify at the official NPI Registry.