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HEROIC HOME HEALTH
NPI 1114619756
Home Health in Jackson, MS

Active since May 23, 2023
770 LAKELAND DR APT 137, JACKSON, MS 39216(769) 348-8174 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heroic Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEROIC HOME HEALTH (NPI 1114619756) is a healthcare organization registered as a home health in Jackson, Mississippi and active in the NPI registry since May 2023. The organization lists India Walker, Medical Assistant, as its authorized official.

NPPES Registry Identity

NPI1114619756
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHEROIC HOME HEALTH
Location Address770 LAKELAND DR APT 137Jackson, MS 39216-4636
Mailing Address770 Lakeland Dr Apt 137Jackson, MS 39216-4636 · (769) 348-8174
Phone(769) 348-8174
Organization SubpartNo
Authorized OfficialIndia WalkerMedical Assistant · (176) 934-8817
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1114619756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
770 LAKELAND DR APT 137, Jackson, MS 39216
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heroic Home Health's NPI number?

The NPI number for Heroic Home Health is 1114619756. It was assigned to this organization in the NPPES registry on May 23, 2023.

Where is Heroic Home Health located?

Heroic Home Health is located at 770 Lakeland Dr Apt 137, Jackson, MS 39216. The listed phone number is (769) 348-8174.

What is Heroic Home Health's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Heroic Home Health was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.