Healthcare Provider Details

I. General information

NPI: 1023931276
Provider Name (Legal Business Name): XAVIER FLOYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13608 S 42ND CIR
BELLEVUE NE
68123-6204
US

IV. Provider business mailing address

13608 S 42ND CIR
BELLEVUE NE
68123-6204
US

V. Phone/Fax

Practice location:
  • Phone: 402-739-0592
  • Fax:
Mailing address:
  • Phone: 402-739-0592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: