CCN: 487302 NPI: 1659893998 Organization

Heavenly Home Sweet Home, Inc

3733 UNIVERSITY BLVD W STE 202
JACKSONVILLE, FL 322172152

Contact Information

Phone 9048627700
Fax 8884029512
Enumeration Date 2017-07-07
Last Updated 2024-12-17

Taxonomies

Code: 101YM0800X
Code: 163WH0200X
Code: 251S00000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 48

providerType 36

censusDivision 5

cbsaActualGeographicLocation 48

providerType 36

censusDivision 5

cbsaActualGeographicLocation 48

providerType 36

censusDivision 5

cbsaActualGeographicLocation 48

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 48

providerType 36

specialPaymentIndicator

carrierCode 09202

localityCode 50

cbsaActualGeographicLocation 48

providerType 36

carrierCode 09202

localityCode 50

cbsaActualGeographicLocation 48

providerType 36

specialPaymentIndicator

carrierCode 09202

localityCode 50