HELIOS HEALTHCARE, LLC (NPI# 1124047386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124047386 |
| Entity Type | Organization |
| Organization Name | HELIOS HEALTHCARE, LLC |
| Other Organization Name | COUNTRY DRIVE CARE CENTER |
| Practice Address |
2500 Country Dr Fremont CA 94536-5356 |
| Mailing Address |
7590 Shoreline Dr Stockton CA 95219-5455 |
| Practice Telephone | 5107924242 |
| Practice Fax Number | 5107924646 |
| Mailing Telephone | 2099552328 |
| Mailing Fax Number | 2094783717 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORI BLACKBURN (VICE PRESIDENT) |
| Authorized Official Telephone | 2099552322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
4935510007 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PART B SUPPLIER | 4935510007 | 01 |
| CA | ZZR05885I | 05 |
| Other Name | Type Code |
|---|---|
| COUNTRY DRIVE CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082446 | Helios Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 23635 Via Carino Ln, Bonita Springs, FL 34135-8265 | 2018-05-09 |
| 1619987393 | Helios Healthcare, LLC | Skilled Nursing Facility | 350 Iris Dr, Salinas, CA 93906-3514 | 2006-08-08 |
| 1770507485 | Helios Healthcare, LLC | Skilled Nursing Facility | 188 Cohasset Ln, Chico, CA 95926-2206 | 2006-07-26 |
| 1083633192 | Helios Healthcare, LLC | Skilled Nursing Facility | 348 Iris Dr, Salinas, CA 93906-3514 | 2006-07-19 |
| 1700805975 | Helios Healthcare, LLC | Skilled Nursing Facility | 2490 Court St, Redding, CA 96001-2540 | 2006-07-19 |
| 1265451348 | Helios Healthcare, LLC | Skilled Nursing Facility | 9461 Batey Ave, Elk Grove, CA 95624-2005 | 2006-07-19 |
| 1053330183 | Helios Healthcare, LLC | Skilled Nursing Facility | 1575 Skyline Dr, Monterey, CA 93940-4110 | 2006-07-19 |
| 1689693863 | Helios Healthcare, LLC | Skilled Nursing Facility | 2200 Tuolumne St, Vallejo, CA 94589-2523 | 2006-07-19 |
| 1871512046 | Helios Healthcare, LLC | Skilled Nursing Facility | 442 E Hampton St, Stockton, CA 95204-5519 | 2006-07-19 |
| 1922027002 | Helios Healthcare, LLC | Skilled Nursing Facility | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2006-07-19 |
| Street Address |
2500 COUNTRY DR |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446562 | Jessica Baskin | Occupational Therapy Assistant | 2500 Country Dr, Fremont, CA 94536-5356 | 2020-10-27 |
| 1710509641 | Andrea Morgan Walden | Speech-Language Pathologist | 2500 Country Dr, Fremont, CA 94536-5356 | 2020-05-13 |
| 1003472028 | Henna Chhabra | Occupational Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2019-05-15 |
| 1467913574 | Andrea Nocera | Occupational Therapy Assistant | 2500 Country Dr, Fremont, CA 94536-5356 | 2019-03-29 |
| 1699232470 | Asha Subramaniam | Occupational Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2019-02-27 |
| 1225595291 | Grishma Gala | Occupational Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2019-02-26 |
| 1730652421 | Swathi Papola | Physical Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2019-01-06 |
| 1861960544 | Maria Maribel Mazariego | Occupational Therapy Assistant | 2500 Country Dr, Fremont, CA 94536-5356 | 2018-11-11 |
| 1194209320 | Pei Ju Ho | Occupational Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2018-09-24 |
| 1295239622 | Eunyung Christine Kim | Occupational Therapist | 2500 Country Dr, Fremont, CA 94536-5356 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700037926 | Fremont Care Center Inc | Skilled Nursing Facility | 3210 North Clarkson, Fremont, NE 68025 | 2008-10-07 |
| 1487775052 | Ssc Fremont Operating Company LLC | Skilled Nursing Facility | 2550 N Nye Ave, Fremont, NE 68025-2242 | 2007-04-02 |
| 1285781013 | Windsor Convalescent and Rehabilitation Center of Fremont, LLC | Skilled Nursing Facility | 2400 Parkside Dr, Fremont, CA 94536-5332 | 2007-01-04 |
| 1255418364 | Trilogy Healthcare of Sandusky, LLC | Skilled Nursing Facility | 1247 N River Rd, Fremont, OH 43420 | 2006-11-01 |
| 1346333275 | Sky Blue Health Inc Dba Hillside Care Center | Skilled Nursing Facility | 38650 Mission Blvd, Fremont, CA 94536-4391 | 2006-10-02 |
| 1093813016 | Elmwood of Fremont, Ltd. | Skilled Nursing Facility | 1545 Fangboner Rd, Fremont, OH 43420-1128 | 2006-09-21 |
| 1902828403 | Crestwood Behavioral Health Inc | Skilled Nursing Facility | 4303 Stevenson Blvd, Fremont, CA 94538-2645 | 2006-07-24 |
| 1295756526 | Volunteers of America Care Facilities | Skilled Nursing Facility | 600 N Brush St, Fremont, OH 43420-1402 | 2006-07-21 |
| 1942228838 | Crestwood Behavioral Health, Inc. | Skilled Nursing Facility | 2171 Mowry Ave, Fremont, CA 94538-1717 | 2006-07-18 |
| 1912949207 | Op 1 Fremont, Inc. | Skilled Nursing Facility | 1406 Oak Harbor Rd, Fremont, OH 43420-1025 | 2006-06-12 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.