MEDICARE: MAXI HOMECARE SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1386925733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXI HOMECARE SERVICES INC

Provider Business Mailing Address
First Line	:	2119 OLEANDER WAY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2884
Country	:	US
Telephone Number	:	214-497-5434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 OLEANDER WAY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2884
Country	:	US
Telephone Number	:	214-497-5434
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ROSELINE E SIMO
Credential	:
Telephone Number	:	214-497-5434

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	11/12/2013

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Directions to “MAXI HOMECARE SERVICES INC ” Practice Location

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