Great Heroes Home Healthcare Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT HEROES HOME HEALTHCARE AGENCY INC

Practice address

5416 SW 127TH Way
Miami, FL 33175-6256

Phone

(305) 456-2396

Fax

(305) 456-0478

NPI assigned

May 31, 2022

Last updated

May 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Johnson

Title

Owner/Vice President

Phone

(305) 456-2396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114666039. Details of each certification follow.

• CCN 687349 Home health agency · Active · Details

Home health agency certification: CCN 687349

Legal name

GREAT HEROES HOME HEALTHCARE AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 20, 2024

Last certification

Nov 13, 2024

Organization structure

CorporationProprietary

Incorporated

May 16, 2022 in FL

Enrollment address

14850 SW 26TH St
Ste 104
Miami, FL 33185-5928

Listed as

Great Heroes Home Healthcare Agency IncCCN 687349 · All quality measures

Ownership

-

Certified

Nov 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1114666039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 SW 127TH WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756256",
            "telephone_number": "305-456-2396",
            "fax_number": "305-456-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 SW 127TH WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756256",
            "telephone_number": "305-456-2396",
            "fax_number": "305-456-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEROES HOME HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "305-456-2396"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.