MEDICARE: MAXIMUM CARE 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
1	376K00000X	Nurse's Aide
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1841296100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIMUM CARE INC.

Provider Business Mailing Address
First Line	:	2127 S 1ST AVE
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-4824
Country	:	US
Telephone Number	:	610-264-2353
Fax Number	:	610-264-8374

Provider Business Practice Location Address
First Line	:	2127 S 1ST AVE
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-4824
Country	:	US
Telephone Number	:	610-264-2353
Fax Number	:	610-264-8374

Authorized Official
Title or Position	:	DIRECTOR OF FISCAL OPERATIONS
Name	:	MR. RYAN BELUSKO
Credential	:
Telephone Number	:	610-264-2353

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/22/2022

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Directions to “MAXIMUM CARE INC. ” Practice Location

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