Provider Demographics
NPI:1235937996
Name:WING HEART LLC
Entity type:Organization
Organization Name:WING HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FALONE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE LOUIS ARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-383-6654
Mailing Address - Street 1:841 PRUDENTIAL DR FL 1249
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8329
Mailing Address - Country:US
Mailing Address - Phone:904-696-1888
Mailing Address - Fax:
Practice Address - Street 1:841 PRUDENTIAL DR FL 1249
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8329
Practice Address - Country:US
Practice Address - Phone:904-696-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies