Heavenly Home Sweet Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVENLY HOME SWEET HOME, INC.

Doing business as

Xtraordinary Services 4 Xtraordinary People

Practice address

3733 University Blvd W Ste 202
Jacksonville, FL 32217-2152

Phone

(904) 862-7700

Fax

(888) 402-9512

NPI assigned

Jul 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gail James, PHD.NPI 1508395039

Title

Ceo

Phone

(904) 862-7700

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Xtraordinary Services 4 Xtraordinary People Doing business as

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

Home health agency certification: CCN 487302

Legal name

HEAVENLY HOME SWEET HOME, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 9, 2023

Last certification

May 9, 2023

Organization structure

CorporationProprietary

Enrollment address

No. 211 Estate Altona & Welgunst
Suite 17
St Thomas, VI 00802

Listed as

Heavenly Home Sweet Home, IncCCN 487302 · All quality measures

Ownership

-

Certified

May 9, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Heavenly Home Sweet Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Heavenly Home Sweet Home, Inc.

  dba Xtraordinary Services 4 Xtraordinary People

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1689320996
  NPD tax ID
• Heavenly Home Sweet Home, Inc.

  dba Xtraordianry Services 4 Xtraordinary People

  • Mental Health Counselor
  • St Thomas, VI
  • NPI 1982350377
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail James, PHD.

  • Pastoral Counselor
  • Jacksonville, FL
  • NPI 1508395039
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1659893998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 STEDMAN LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180619",
            "telephone_number": "904-554-2185",
            "fax_number": "888-402-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172152",
            "telephone_number": "904-862-7700",
            "fax_number": "888-402-9512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 Blanding Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320655792",
            "country_code": "US",
            "telephone_number": "904-554-2185",
            "fax_number": "904-374-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAVENLY HOME SWEET HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-862-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NUMBER",
            "identifier": "0220226728",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xtraordinary Services 4 Xtraordinary People",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Xtraordinary Services 4 Xtraordinary People",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather M. Fewox-Steen, LMHC, LLC.
• Alexis Heather, DPT
• Stephanie Heaton, CRNA
• Heaven Enterprises, LLC (Mom Haven Hub)
• Heavenly Angels Homemaker & Companion Services
• Heavenly Home Sweet Home, Inc. (Xtraordinary Services 4 Xtraordinary People)
• Karen Heavner
• Mark Stephen Hebb Jr., PHARMD.
• Causey Dunlap Hebel, MD
• Ryan Hebel

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.