Active NPI
Helia Healthcare of Hillsboro, LLC
- Skilled Nursing Facility
- Hillsboro, IL
National Provider Identifier
1922096320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1509730
- Legal business name
- HELIA HEALTHCARE OF HILLSBORO, LLC
- Practice address
- 9086 Illinois
Route 127
Hillsboro, IL 62049 - Phone
- (217) 532-6126
- Fax
- (217) 532-9465
- NPI assigned
- Oct 10, 2005
- 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 P Miller
- Title
- Principal/Member
- Phone
- (312) 994-2306
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1509730 | IL | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
9086 Illinois
Route 127
Hillsboro, IL 62049
Mailing address
500 NW Plaza Dr Ste 712
Saint Ann, MO 63074-2222
Phone (314) 566-0459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371323740001 | Medicaid | IL |
Other names 1
- Montgomery Nursing & Rehab Ctr
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service?_ga=2.15213237.2042738544.1710446440-2000851276.1689896608 | 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 |
|---|---|---|---|---|
| O20150526000098 | IL | Part A Provider - Skilled Nursing Facility | 0446570931 | Practice locations: Hillsboro, IL |
Skilled nursing facility certification: CCN 145483
- Legal name
- HELIA HEALTHCARE OF HILLSBORO LLC
- Doing business as
- MONTGOMERY NURSING & REHAB CTR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1984
- Last certification
- Mar 27, 2025
- Beds
- 110
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Bridgemark
- Most recent change of ownership
- Mar 1, 2015
- Organization structure
- LLC
- Incorporated
- Aug 2, 2007 in IL
- Enrollment address
- 9086 Il RT 127
Hillsboro, IL 62049-4125 - Nursing home name
- MONTGOMERY NURSING & REHAB CTR
- Affiliated entity
- HELIA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Montgomery Nursing & Rehab Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 1, 1984
- Medicare certification status
- Active
- Certified beds
- 110
- Chain
- Helia Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Stephen P Miller | 5% Or Greater Direct Ownership Interest | Aug 2, 2007 | 100% |
| Corporate Officer | May 15, 2006 | 100% | |
| W-2 Managing Employee | May 15, 2006 | 100% | |
| Michael Jason Mills | Corporate Officer | Jan 1, 2017 | |
| Christopher Thomas Cox | W-2 Managing Employee | Mar 17, 2021 | |
| Natalie Mueller | Operational/Managerial Control | Mar 1, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1922096320",
"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": "9086 ILLINOIS",
"address_2": "ROUTE 127",
"city": "HILLSBORO",
"state": "IL",
"postal_code": "62049",
"telephone_number": "217-532-6126",
"fax_number": "217-532-9465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELIA HEALTHCARE OF HILLSBORO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRINCIPAL/MEMBER",
"authorized_official_telephone_number": "312-994-2306"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "1509730",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371323740001",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service?_ga=2.15213237.2042738544.1710446440-2000851276.1689896608",
"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",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Montgomery Nursing & Rehab Ctr",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Montgomery Nursing & Rehab Ctr",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hillsboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.