HELIOS HEALTHCARE, LLC (NPI# 1922027002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922027002 |
| Entity Type | Organization |
| Organization Name | HELIOS HEALTHCARE, LLC |
| Other Organization Name | ELMHAVEN CARE CENTER |
| Practice Address |
6940 Pacific Ave Stockton CA 95207-2602 |
| Mailing Address |
7590 Shoreline Dr Stockton CA 95219-5455 |
| Practice Telephone | 2094774817 |
| Practice Fax Number | 2094770522 |
| 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 |
4935510011 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PART B SUPPLIER | 4935510011 | 01 |
| CA | ZZR05735I | 05 |
| Other Name | Type Code |
|---|---|
| ELMHAVEN 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 |
| 1124047386 | Helios Healthcare, LLC | Skilled Nursing Facility | 2500 Country Dr, Fremont, CA 94536-5356 | 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 |
| Street Address |
6940 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683081 | Joshua Ramirez | Physical Therapy Assistant | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2020-09-12 |
| 1821609264 | Johnny Williams-ray Defroe IIi | Occupational Therapist | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2020-08-10 |
| 1932762713 | Victoria K Joe | Occupational Therapist | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2019-04-17 |
| 1396881033 | Windsor Elmhaven Care Center, LLC | Skilled Nursing Facility | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
| 1932507431 | Sandra Rae Divine | Skilled Nursing Facility | 1015 Lancaster Dr, Stockton, MO 65785-8360 | 2014-12-15 |
| 1114323136 | Good Samaritan Care Provider LLC | Skilled Nursing Facility | 10740 Oakwilde Ave, Stockton, CA 95212-9249 | 2014-11-19 |
| 1801938816 | Covenant Care California, LLC | Skilled Nursing Facility | 9289 Branstetter Place, Stockton, CA 95209-1700 | 2007-02-13 |
| 1730269184 | O'connor Woods Housing Corp | Skilled Nursing Facility | 3110 Wagner Heights Rd, Stockton, CA 95209-4848 | 2006-10-17 |
| 1891700464 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1517 E Knickerbocker Dr, Stockton, CA 95210-3119 | 2006-07-30 |
| 1548283542 | Stockton Edison Healthcare Corporation | Skilled Nursing Facility | 1630 N. Edison St., Stockton, CA 95204 | 2006-07-25 |
| 1871512046 | Helios Healthcare, LLC | Skilled Nursing Facility | 442 E Hampton St, Stockton, CA 95204-5519 | 2006-07-19 |
| 1487601704 | Sunbridge Stockton Rehabilitation Center LLC | Skilled Nursing Facility | 9107 Davis Rd, Stockton, CA 95209-1807 | 2006-05-30 |
| 1679529176 | Beverly Health and Rehabilitation Services, Inc. | Skilled Nursing Facility | 1221 Rosemarie Ln, Stockton, CA 95207-6703 | 2006-05-26 |
| Find all providers in STOCKTON | ||||
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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.