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	License Number	License Number State
1	251E00000X	Home Health Agency		TN

General Provider Information

NPI Number	:	1740676147
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	:	21046-3236
Country	:	US
Telephone Number	:	410-910-1500
Fax Number	:	410-910-1600

Provider Business Practice Location Address
First Line	:	208 SUNSET DR
Second Line	:	SUITE 503
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2517
Country	:	US
Telephone Number	:	423-202-9957
Fax Number	:	800-541-2899

Authorized Official
Title or Position	:	REGIONAL VP OF FINANCE
Name	:	MR. DUANE BRICKHOUSE
Credential	:
Telephone Number	:	410-910-1500

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	04/13/2015

Similar Medicare Providers

1568459741 — MS. JEAN P WHITINGER LMFT
Practice Location Address:

208 SUNSET DR , SUITE 410
JOHNSON CITY, TN
37604-2517

Practice Phone: 423-943-1139
Practice Fax: 423-915-0862

1235308156 — BROOKE HAMMOND PECCIA MS, CCC-SLP
Practice Location Address:

208 SUNSET DR , SUITE 367
JOHNSON CITY, TN
37604-2517

Practice Phone: 423-282-1700
Practice Fax: 423-282-9319

1831125814 — MRS. ANNE BAILEY R.P.H
Practice Location Address:

105A BROYLES ST
JOHNSON CITY, TN
37601-2517

Practice Phone: 423-283-0122
Practice Fax: 423-282-8046

1306872379 — MR. DOUGLAS LONG R.P.H
Practice Location Address:

105A BROYLES ST
JOHNSON CITY, TN
37601-2517

Practice Phone: 423-282-1178
Practice Fax: 423-282-0462

1053274720 — VIVIAN KIM
Practice Location Address:

12182 1/2 VENTURA BLVD
STUDIO CITY, CA
91604-2517

Practice Phone: 818-921-7335
Practice Fax:

1336189158 — EXPRESS HEALTH CLINIC CORPORATION
Practice Location Address:

153 E BROADWAY BLVD
JEFFERSON CITY, TN
37760-2517

Practice Phone: 865-475-9969
Practice Fax: 865-475-9901

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.