Healthcare Provider Details

I. General information

NPI: 1225545015
Provider Name (Legal Business Name): XPERIFY CONSULTING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17730 NW 14TH PL
MIAMI FL
33169-4648
US

IV. Provider business mailing address

17730 NW 14TH PL
MIAMI FL
33169-4648
US

V. Phone/Fax

Practice location:
  • Phone: 954-822-9069
  • Fax:
Mailing address:
  • Phone: 954-822-9069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TREVAN D SMITH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 754-226-7141