MEDICARE: MAXIM HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WC2100X	Continence Care Registered Nurse
2	3747P1801X	Personal Care Attendant
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376630954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIM HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	7227 LEE DEFOREST DR.
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 CORPORATION LN STE 300
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3162
Country	:	US
Telephone Number	:	757-490-3009
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR OF FINANCE
Name	:	DAVID KOWALCZYK
Credential	:
Telephone Number	:	410-910-1730

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/19/2024

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Directions to “MAXIM HEALTHCARE SERVICES, INC. ” Practice Location

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