Organization Active NPI

Heavenly Home Sweet Home, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1689320996
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HOME SWEET HOME, INC.
Practice address
1616 Jork Rd Ste 101
Jacksonville, FL 32207-2492
Phone
(904) 453-8129
Fax
(888) 402-9512
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Dr. Gail James, PHD.
Title
Ceo
Phone
(904) 554-2185

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1616 Jork Rd Ste 101
Jacksonville, FL 32207-2492

Mailing address

15770 Stedman Lake Dr
Jacksonville, FL 32218-0619
Phone (904) 453-8129

Other names 1

  • Xtraordinary Services 4 Xtraordinary People Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR Direct

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1689320996",
    "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": "904-453-8129",
            "fax_number": "888-402-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 JORK RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072492",
            "telephone_number": "904-453-8129",
            "fax_number": "888-402-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME SWEET HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-554-2185",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1626 Jork Rd",
            "address_2": "Suite 101",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Xtraordinary Services 4 Xtraordinary People",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.