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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
1251E00000XHome Health Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1609087485
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXIM HEALTHCARE SERVICES, INC.
Provider Business Mailing Address
First Line : 7227 LEE DEFOREST RD
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 : 500 S MAIN ST STE 600
Second Line :
City : ORANGE
State : CA
Zip : 92868-4514
Country : US
Telephone Number : 714-368-0640
Fax Number : 714-368-0665
Authorized Official
Title or Position : REGIONAL CONTROLLER
Name : DAVID KOWALCZYK
Credential :
Telephone Number : 410-910-1500
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/21/2022

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

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