MEDICARE: CERTIFIED HEARTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	305S00000X	Point of Service
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1770300402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED HEARTS LLC

Provider Business Mailing Address
First Line	:	5435 NIGHTHAWK WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4770
Country	:	US
Telephone Number	:	317-796-8682
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT STE 205
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1119
Country	:	US
Telephone Number	:	317-796-8682
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATONIA TRIPLETT
Credential	:	RN
Telephone Number	:	317-912-1141

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	10/10/2024

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Directions to “CERTIFIED HEARTS LLC ” Practice Location

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