{"npi":"1114915675","type":"NPI-2","status":"active","name":{"display":"Helia Healthcare Of Jerseyville LLC","other":[],"organization_name":"HELIA HEALTHCARE OF JERSEYVILLE LLC","authorised_official":"Stephen Miller"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"IL","license":"1584531"}]},"addresses":[{"purpose":"LOCATION","street_1":"1001 S STATE ST","city":"JERSEYVILLE","state":"IL","postal_code":"620522361","country_code":"US","phone":"6184986496","fax":"6184987435"},{"purpose":"MAILING","street_1":"500 NW PLAZA DR STE 712","city":"SAINT ANN","state":"MO","postal_code":"630742222","country_code":"US","phone":"3143172003","fax":"3128965951"}],"license":{"state":"IL","number":"1584531"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"371323741002","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150527002329","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"IL","pac_id":"3072833300"}]},"enumeration_date":"2005-10-10","last_updated":"2024-03-18","_meta":{"source":"NPPES","snapshot_date":"2024-03-18","doc_url":"https://findmynpi.com/api"}}