# GREAT HEROES HOME HEALTHCARE AGENCY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114666039
- **Authorized official:** JASON JOHNSON (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (305) 456-2396

## Contact information

- **Practice address:** 5416 SW 127TH WAY, MIAMI, FL 33175-6256
- **Practice address phone:** (305) 456-2396
- **Practice address fax:** (305) 456-0478
- **Mailing address:** 5416 SW 127TH WAY, MIAMI, FL 33175-6256
- **Mailing address phone:** (305) 456-2396
- **Mailing address fax:** (305) 456-0478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 05/27/2026