Provider Demographics
NPI:1093349540
Name:HEART OF FAMILIES LLC
Entity Type:Organization
Organization Name:HEART OF FAMILIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANESE
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:LATIMER-PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-341-6561
Mailing Address - Street 1:921 E DUPONT RD STE 703
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-1551
Mailing Address - Country:US
Mailing Address - Phone:407-341-6561
Mailing Address - Fax:
Practice Address - Street 1:10435 WOODFIELD PL
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46835-9750
Practice Address - Country:US
Practice Address - Phone:407-341-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care