Organization
H.E.R.O. INSTITUTE LLC
Active
Organization
H.E.R.O. INSTITUTE LLC
Active
Other names
H.E.R.O Care Clinic, HERO Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA RANDLE NP-C (PROVIDER)
(770) 726-3577
Entity
Organization
Contact information
Practice address
6130 HOTEL ST, AUSTELL, GA 30106-4623
(770) 726-3577
(770) 522-6228
Mailing address
2847 VETERANS MEMORIAL HWY SW UNIT 1322, AUSTELL, GA 30168-1113
(770) 726-3577
(770) 522-6228
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003167991K
—
GA
01
—
RN199251
NP LICENSE NUMBER
GA
Enumeration date
02/01/2023
Last updated
02/22/2026
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