# HEAVENLY HOME SWEET HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Xtraordinary Services 4 Xtraordinary People
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689320996
- **Authorized official:** DR. GAIL JAMES PHD. (CEO)
- **Authorized official phone:** (904) 554-2185

## Contact information

- **Practice address:** 1616 JORK RD STE 101, JACKSONVILLE, FL 32207-2492
- **Practice address phone:** (904) 453-8129
- **Practice address fax:** (888) 402-9512
- **Mailing address:** 15770 STEDMAN LAKE DR, JACKSONVILLE, FL 32218-0619
- **Mailing address phone:** (904) 453-8129
- **Mailing address fax:** (888) 402-9512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 10/03/2025