NPIMap

Organization Active NPI

Heroic Home Health

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1114619756
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEROIC HOME HEALTH
Practice address
770 Lakeland Dr Apt 137
Jackson, MS 39216-4636
Phone
(769) 348-8174
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
India WalkerNPI 1881386399
Title
Medical Assistant
Phone
(176) 934-8817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

770 Lakeland Dr Apt 137
Jackson, MS 39216-4636

Mailing address

770 Lakeland Dr Apt 137
Jackson, MS 39216-4636
Phone (769) 348-8174

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1114619756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LAKELAND DR APT 137",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164636",
            "telephone_number": "769-348-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKELAND DR APT 137",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164636",
            "telephone_number": "769-348-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROIC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "176-934-8817"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.