Organization
HELIOS HEALTHCARE, LLC
Active
Other names
VALLEJO CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
2200 TUOLUMNE ST, VALLEJO, CA 94589-2523
(707) 644-7401
(707) 644-1625
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2328
(209) 478-3717
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
4935510008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4935510008
PART B SUPPLIER
CA
05
—
ZZR06238I
—
CA
Enumeration date
07/19/2006
Last updated
09/16/2025
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