Healthcare Provider Details

I. General information

NPI: 1770419202
Provider Name (Legal Business Name): KIND ASSURED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 N STATE ROAD 7 STE 409B
LAUDERDALE LAKES FL
33319-4882
US

IV. Provider business mailing address

4000 N STATE ROAD 7 STE 409B
LAUDERDALE LAKES FL
33319-4882
US

V. Phone/Fax

Practice location:
  • Phone: 954-348-2430
  • Fax: 754-200-8984
Mailing address:
  • Phone: 954-348-2430
  • Fax: 754-200-8984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE A BLAKE
Title or Position: CEO
Credential:
Phone: 954-348-2430