NPIMap

Organization Active NPI

Helia Southbelt Healthcare, LLC

  • Skilled Nursing Facility
  • Belleville, IL
National Provider Identifier
1982855052
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0048587 Issued in IL
Legal business name
HELIA SOUTHBELT HEALTHCARE, LLC
Practice address
101 S Belt W
Belleville, IL 62220-2503
Phone
(618) 277-7700
NPI assigned
Oct 7, 2008
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
Steven P Miller
Title
Principal / Owner
Phone
(314) 431-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0048587 IL Primary

Addresses

Primary practice location

101 S Belt W
Belleville, IL 62220-2503

Mailing address

500 NW Plaza Dr Ste 712
Saint Ann, MO 63074-2222
Phone (314) 566-0459

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
O20081022000100 IL Part A Provider - Skilled Nursing Facility 3678631587 Practice locations: Belleville, IL

Skilled nursing facility certification: CCN 145241

Legal name
HELIA SOUTHBELT HEALTHCARE, LLC
Doing business as
FOUR FOUNTAINS CONVALESCENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 25, 1972
Last certification
Aug 13, 2024
Beds
156
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Aug 29, 2006 in IL
Enrollment address
101S Belt W
Belleville, IL 62220-2503
Nursing home name
HELIA SOUTHBELT HEALTHCARE
Affiliated entity
HELIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Helia Southbelt HealthcareCCN 145241
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 25, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15687.3 residents per day on average
Chain
Helia Healthcare13 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $268,360

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Stephen P Miller Individual 5% Or Greater Direct Ownership Interest Aug 29, 2006 100%
Michael Jason Mills Individual Corporate OfficerCfo Feb 1, 2016
Christine Warcup Individual W-2 Managing EmployeeAdministrator Nov 18, 2019 100%
Bridgemark Healthcare, LLC Organization, Saint Louis, MO LLC Operational/Managerial Control Aug 29, 2006

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1982855052",
    "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": "101 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202503",
            "telephone_number": "618-277-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIA SOUTHBELT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRINCIPAL / OWNER",
        "authorized_official_telephone_number": "314-431-0511"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0048587",
            "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

Verify at the official NPI Registry.