Healthcare Provider Details

I. General information

NPI: 1134038680
Provider Name (Legal Business Name): KIND HEARTS CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S UNIVERSITY DR STE 406
DAVIE FL
33328-5311
US

IV. Provider business mailing address

5400 S UNIVERSITY DR STE 406
DAVIE FL
33328-5311
US

V. Phone/Fax

Practice location:
  • Phone: 954-439-6986
  • Fax:
Mailing address:
  • Phone: 954-439-6986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALIX LOCKHART
Title or Position: PRINCIPAL
Credential:
Phone: 954-439-6986