OrganizationActive
Shirley Wilson Heavenly Healthcare
NPI 1548904063 · Home Health Aide · Jacksonville, FL
Shirley Wilson Heavenly Healthcare is a Home Health Aide organization in Jacksonville, FL (NPI 1548904063).
Provider details
- NPI number
- 1548904063
- Entity type
- Organization
- Primary specialty
- Home Health AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Shirley Wilson, Owner(904) 487-3949
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5105 Benning Rd
Jacksonville, FL 32254-3610
Phone: (904) 667-7962
Fax: (904) 580-5805
Street-level locationGet directions
Mailing address
5105 Benning Rd
Jacksonville, FL 32254-3610
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Frequently asked questions
- What is Shirley Wilson Heavenly Healthcare's NPI number?
- Shirley Wilson Heavenly Healthcare's National Provider Identifier (NPI) is 1548904063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shirley Wilson Heavenly Healthcare?
- Shirley Wilson Heavenly Healthcare is classified in the NPPES registry as Home Health Aide (Nursing Service Related Providers).
- Where is Shirley Wilson Heavenly Healthcare located?
- Shirley Wilson Heavenly Healthcare's practice location on file with NPPES is 5105 Benning Rd, Jacksonville, FL 32254-3610.
- What is Shirley Wilson Heavenly Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Shirley Wilson Heavenly Healthcare is (904) 667-7962.
- Who is the authorized official for Shirley Wilson Heavenly Healthcare?
- The authorized official listed on Shirley Wilson Heavenly Healthcare's NPPES record is Shirley Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shirley Wilson Heavenly Healthcare's NPI active?
- Yes — Shirley Wilson Heavenly Healthcare's NPI (1548904063) is active in the NPPES registry as of the last update on 2022-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.