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HEALING MANTLE, LLC
NPI 1104700111
Nursing Care in Champaign, IL

Active since August 04, 2025
5117 JACKS BLVD, CHAMPAIGN, IL 61822(217) 318-1860 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healing Mantle, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING MANTLE, LLC (NPI 1104700111) is a healthcare organization registered as a nursing care in Champaign, Illinois and active in the NPI registry since August 2025. The organization lists Ina Medina Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104700111
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameHEALING MANTLE, LLC
Location Address5117 JACKS BLVDChampaign, IL 61822-3656
Mailing Address5117 Jacks BlvdChampaign, IL 61822-3656 · (217) 318-1860
Phone(217) 318-1860
Organization SubpartNo
Authorized OfficialIna Medina WilliamsManaging Member · (217) 318-1860
Enumeration DateAugust 4, 2025
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1104700111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedHealth EducatorTaxonomy 174H00000X
5117 JACKS BLVD, Champaign, IL 61822
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INA MEDINA WILLIAMS MPH, RN
Registered Nurse
5117 JACKS BLVD
CHAMPAIGN, IL 61822
Champaign County (217) 318-1860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Mantle, LLC's NPI number?

The NPI number for Healing Mantle, LLC is 1104700111. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Healing Mantle, LLC located?

Healing Mantle, LLC is located at 5117 Jacks Blvd, Champaign, IL 61822. The listed phone number is (217) 318-1860.

What is Healing Mantle, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Healing Mantle, LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.