HELIA HEALTHCARE OF ENERGY, LLC
Intermediate Care Facility, Mental Illness
Energy, Illinois
Provider NPI: 1043217870
Organization Information:Organization Name: HELIA HEALTHCARE OF ENERGY, LLC
Practice Location:
210 COLLEGE ENERGY, IL 62933 US
Tel: 618-942-7014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
210 COLLEGE ENERGY, IL 62933 US
Tel: 618-942-7014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | IL | 0046672 |
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | IL | 0046672 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IL | 0046672 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
FACILITY LICENSE NUMBER | 0046672 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin