Heroes Healthcare PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEROES HEALTHCARE PLLC

Practice address

8500 Village Dr Ste 202
San Antonio, TX 78217-5510

Phone

(210) 957-1419

Fax

(210) 957-1697

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Trent J Fackelman, MS, RN, FNP-CNPI 1407466410

Title

President/Ceo

Phone

(210) 957-1419

Specialties & licenses 2

Addresses

Other names 1

• Hereos Healthcare Primary Care Doing business as

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent J Fackelman, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1407466410
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1770184012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 VILLAGE DR STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 VILLAGE DR STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175510",
            "telephone_number": "210-957-1419",
            "fax_number": "210-957-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "FACKELMAN",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-957-1419",
        "authorized_official_credential": "MS, RN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hereos Healthcare Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hereos Healthcare Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Rochelle Herndon, L.P.C.
• Sarah Herning
• Katheryn Danielle Hernon, LVN
• Hero Shuttle LLC
• Nanette Hero-Vasquez, LCSW
• Mitchell Schoen Herold, MD
• Stephanie Herold, PA-C
• Anna B Herr, APRN
• Joe D Herre, PA-C
• Jose Herrejon-Perez

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.