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NPI Code Detail

MEDICARE: HELIOS HEALTHCARE, LLC

MEDICARE: HELIOS HEALTHCARE, LLC
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
1314000000XSkilled Nursing Facility
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)4935510008CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14935510008OTHERCAPART B SUPPLIER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689693863
Entity Type Code : Organization
Provider Name (Legal Business Name) : HELIOS HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 7590 SHORELINE DR
Second Line :
City : STOCKTON
State : CA
Zip : 95219-5455
Country : US
Telephone Number : 209-955-2328
Fax Number : 209-478-3717
Provider Business Practice Location Address
First Line : 2200 TUOLUMNE ST
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2523
Country : US
Telephone Number : 707-644-7401
Fax Number : 707-644-1625
Authorized Official
Title or Position : EXECUTIVE DIRECTOR REIMBURSEMENT
Name : MICHELLE SMITH
Credential :
Telephone Number : 209-955-2364
Provider Enumeration Date : 07/19/2006
Last Update Date : 09/16/2025

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Directions to “HELIOS HEALTHCARE, LLC ” Practice Location

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