Provider Demographics
NPI:1356088793
Name:I HEART LLC
Entity Type:Organization
Organization Name:I HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:AGUIRRE
Authorized Official - Last Name:LAURITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-453-2704
Mailing Address - Street 1:5350 RAVENSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-2519
Mailing Address - Country:US
Mailing Address - Phone:703-453-2704
Mailing Address - Fax:571-336-0950
Practice Address - Street 1:5350 RAVENSWORTH RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-2519
Practice Address - Country:US
Practice Address - Phone:703-453-2704
Practice Address - Fax:571-336-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)