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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