Organization Active NPI

Heavenly Home Sweet Home, Inc.

  • Mental Health Counselor
  • St. Thomas, VI
National Provider Identifier
1982350377
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEAVENLY HOME SWEET HOME, INC.
Practice address
14B-3 Estate Thomas
St. Thomas, VI 00802
Phone
(340) 473-2368
Fax
(888) 402-9512
NPI assigned
Feb 24, 2022
Organization subpart
Yes
Parent organization
HEAVENLY HOME SWEET HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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
(340) 473-2368

Specialties & licenses 1

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

Addresses

Primary practice location

14B-3 Estate Thomas
St. Thomas, VI 00802

Mailing address

15770 Stedman Lake Dr
Jacksonville, FL 32218-0619
Phone (904) 554-2185

Other identifiers 1

IdentifierTypeStateIssuer
1990OtherVICOUNSELING AND CONSULTING SERVICES

Other names 2

  • Xtraordianry Services 4 Xtraordinary People Doing business as
  • Xtraordinary Services 4 Xtraordinary People Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Home Sweet Home Inc3 organizations share this tax ID, including this one
Part of
Heavenly Home Sweet Home Inc

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": "1645660800000",
    "number": "1982350377",
    "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": "14B-3 ESTATE THOMAS",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-473-2368",
            "fax_number": "888-402-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME SWEET HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEAVENLY HOME SWEET HOME, INC.",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "340-473-2368",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING AND CONSULTING SERVICES",
            "identifier": "1990",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xtraordianry Services 4 Xtraordinary People",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Xtraordinary Services 4 Xtraordinary People",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.