Healthcare Provider Details

I. General information

NPI: 1841296100
Provider Name (Legal Business Name): MAXIMUM CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2127 S 1ST AVE
WHITEHALL PA
18052-4824
US

IV. Provider business mailing address

2127 S 1ST AVE
WHITEHALL PA
18052-4824
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-2353
  • Fax: 610-264-8374
Mailing address:
  • Phone: 610-264-2353
  • Fax: 610-264-8374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN BELUSKO
Title or Position: DIRECTOR OF FISCAL OPERATIONS
Credential:
Phone: 610-264-2353