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NPI 1629233341

NPI 1629233341 : MAXIM HEALTHCARE SERVICES, INC. : ABINGDON, VA

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General NPI Number Information
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    NPI Number           |    1629233341
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAXIM HEALTHCARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    07/22/2008
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    406 W MAIN ST FL 2 
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    City                 |    ABINGDON
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    State                |    VA
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    Zip                  |    24210-2608
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    Country              |    US
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    Telephone            |    276-619-5106
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7227 LEE DEFOREST DR 
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    City                 |    COLUMBIA
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    State                |    MD
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    Zip                  |    21046-3236
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    Country              |    US
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    Telephone            |    410-910-1500
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    Fax                  |    410-910-1600
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Authorized Official
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    Title or Position    |    REGIONAL VP
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    Name                 |    MR. DAVID  KOWALCZYK 
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    Credential           |    
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    Telephone            |    410-910-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #4
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    Taxonomy Code        |    163WC2100X
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    Taxonomy Name        |    Continence Care Registered Nurse
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #5
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    NULL
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