HEREOS HEALTHCARE PRIMARY CARE
NPI 1770184012
Clinic/Center - Primary Care in San Antonio, TX

Q: What is Heroes Healthcare PLLC's NPI number?

The NPI number for Heroes Healthcare PLLC is 1770184012. It was assigned to this organization in the NPPES registry on November 3, 2020. The provider is doing business as Hereos Healthcare Primary Care.

Q: What is Heroes Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since November 03, 2020CLIA 45D2207092 · Waiver

8500 VILLAGE DR STE 202, SAN ANTONIO, TX 78217(210) 957-1419(210) 957-1697 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, May 3, 2023, Nov 29, 2022 and 2 more (5 updates tracked since 2020).

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About Hereos Healthcare Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEREOS HEALTHCARE PRIMARY CARE (NPI 1770184012) is a healthcare organization registered as a primary care in San Antonio, Texas and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Trent J Fackelman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1770184012

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHEROES HEALTHCARE PLLC

Location Address8500 VILLAGE DR STE 202San Antonio, TX 78217-5510

Mailing Address8500 Village Dr Ste 202San Antonio, TX 78217-5510

Phone(210) 957-1419

Fax(210) 957-1697

Organization SubpartNo

Authorized OfficialTrent J FackelmanPresident/ceo · (210) 957-1419

Enumeration DateNovember 3, 2020

Last NPPES UpdateAugust 15, 20235 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1770184012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

8500 VILLAGE DR STE 202, San Antonio, TX 78217

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Other Names 1

Doing Business AsHereos Healthcare Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2207092

Heroes Healthcare PLLC Dba Heroes Healthcare Primary Care · San Antonio, TX

Active · expires Dec 22, 2026

CLIA Number45D2207092

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2024

Certificate Expiration DateDecember 22, 2026

Laboratory DirectorTrent J. Fackelman

Laboratory Phone(210) 957-1419

Laboratory LocationHeroes Healthcare PLLC Dba Heroes Healthcare Primary Care8500 Village Drive, San Antonio, TX 78217

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRENT J FACKELMAN FNP-C

Nurse Practitioner (Family)

8500 VILLAGE DR STE 202
SAN ANTONIO, TX 78217

Bexar County (210) 957-1419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heroes Healthcare PLLC's NPI number?

The NPI number for Heroes Healthcare PLLC is 1770184012. It was assigned to this organization in the NPPES registry on November 3, 2020. The provider is doing business as Hereos Healthcare Primary Care.

Where is Heroes Healthcare PLLC located?

Heroes Healthcare PLLC is located at 8500 Village Dr Ste 202, San Antonio, TX 78217. The listed phone number is (210) 957-1419.

What is Heroes Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Heroes Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2207092) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heroes Healthcare PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Heroes Healthcare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heroes Healthcare PLLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.