HEAVENLY HOME SWEET HOME INC. NPI 1659893998

NPI Information

NPI: 1659893998
Provider Name: HEAVENLY HOME SWEET HOME, INC.

Doing Business As: XTRAORDINARY SERVICES 4 XTRAORDINARY PEOPLE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3733 UNIVERSITY BLVD W STE 202
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 862-7700
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HEAVENLY HOME SWEET HOME, INC. is a mental health counselor in Jacksonville, FL. HEAVENLY HOME SWEET HOME, INC. NPI is 1659893998. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Xtraordinary Services 4 Xtraordinary People.

The provider's business location address is:

3733 UNIVERSITY BLVD W STE 202
JACKSONVILLE, FL
ZIP 32217-152
Phone: (904) 862-7700
Fax: (888) 402-9512

The provider's authorized official is Gail James .
The authorized official title is Ceo and has the following contact phone number (904) 862-7700.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health			No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0220226728	OTHER	VIRGIN ISLANDS	PERSONAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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