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NPI Code Detail

MEDICARE: MAXIM HEALTHCARE SERVICES, INC.

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
1253Z00000XIn Home Supportive Care Agency
2385H00000XRespite Care
3251E00000XHome Health Agency20683096FL

Other Identifiers

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

General Provider Information

NPI Number : 1417065111
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 : 601 S LAKE DESTINY RD STE 350
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7222
Country : US
Telephone Number : 407-647-6555
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP OF FINANCE
Name : DAVID KOWALCZYK
Credential :
Telephone Number : 410-910-1500
Provider Enumeration Date : 08/25/2006
Last Update Date : 03/10/2025

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

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