MEDICARE: HELIO HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	080811453	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609892280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELIO HEALTH, INC.

Provider Business Mailing Address
First Line	:	518 JAMES STREET
Second Line	:	SUITE 200
City	:	SYRACUSE
State	:	NY
Zip	:	13203-2238
Country	:	US
Telephone Number	:	315-474-5506
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 JAMES ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13203-2504
Country	:	US
Telephone Number	:	315-492-1184
Fax Number	:	315-492-0367

Authorized Official
Title or Position	:	DIRECTOR OF RCM
Name	:	ROZANNA SOHAN
Credential	:
Telephone Number	:	315-471-1546

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	10/04/2024

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Directions to “HELIO HEALTH, INC. ” Practice Location

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