# GRAND HEART, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487422481
- **Authorized official:** CHAD BONHOMME MD (OWNER)
- **Authorized official phone:** (414) 429-2125

## Contact information

- **Practice address:** 2605 N LEBANON ST, LEBANON, IN 46052-1476
- **Practice address phone:** (414) 429-5125
- **Mailing address:** 5235 WASHINGTON BLVD, INDIANAPOLIS, IN 46220-3060
- **Mailing address phone:** (414) 429-2125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 12/20/2023