Active NPI
Heavenly Home Sweet Home, Inc.
- Mental Health Counselor
- St. Thomas, VI
National Provider Identifier
1982350377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1990 | Other | VI | COUNSELING AND CONSULTING SERVICES |
Other names 2
- Xtraordianry Services 4 Xtraordinary People
- Xtraordinary Services 4 Xtraordinary People
National Provider Directory
National Provider Directory- Tax ID family
- Heavenly Home Sweet Home Inc
- 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.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1659893998
-
- Home Health Agency
- Jacksonville, FL
- NPI 1689320996
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.