Provider Demographics
NPI:1275990590
Name:HELMINK, BECKY
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:HELMINK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4773 E 1800TH AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:IL
Mailing Address - Zip Code:62445-2212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4773 E 1800TH AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:IL
Practice Address - Zip Code:62445-2212
Practice Address - Country:US
Practice Address - Phone:217-663-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160.004918314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility