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General NPI Number Information
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NPI Number | 1265451348
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Entity Type | Organization
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Legal Business Name | HELIOS HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 9461 BATEY AVE
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City | ELK GROVE
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State | CA
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Zip | 95624-2005
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Country | US
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Telephone | 916-685-9525
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Fax | 916-685-3373
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Provider Business Mailing Address
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Address Line | 7590 SHORELINE DR
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City | STOCKTON
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State | CA
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Zip | 95219-5455
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Country | US
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Telephone | 209-955-2328
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Fax | 209-478-3717
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR REIMBURSEMENT
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Name | MICHELLE SMITH
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Credential |
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Telephone | 209-955-2316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 4935510012
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License Number State | CA
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