Healthcare Provider Details

I. General information

NPI: 1598126377
Provider Name (Legal Business Name): ADAPTIFY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 GEORGIA AVE STE 302
SILVER SPRING MD
20910-3658
US

IV. Provider business mailing address

8720 GEORGIA AVE STE 302
SILVER SPRING MD
20910-3658
US

V. Phone/Fax

Practice location:
  • Phone: 301-589-0866
  • Fax:
Mailing address:
  • Phone: 301-589-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC302376
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER P EMERY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 301-589-0866