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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 Agency299991802FL

Other Identifiers

General Provider Information

NPI Number : 1619084050
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 : 1300 CITIZENS BLVD STE 150
Second Line :
City : LEESBURG
State : FL
Zip : 34748-3966
Country : US
Telephone Number : 352-360-7291
Fax Number : 877-306-8306
Authorized Official
Title or Position : EXECUTIVE VP OF FINANCE
Name : DAVID KOWALCZYK
Credential :
Telephone Number : 410-910-1500
Provider Enumeration Date : 08/23/2006
Last Update Date : 03/10/2025

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

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