Maxim Healthcare Services, Inc.

LBN: Maxim Healthcare Services, Inc.
Maxim Healthcare Services, Inc. is an health care organization with primary practice located at 4712 Stoddard Rd Ste 280 , Modesto CA 95356-9404. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Maxim Healthcare Services, Inc. can be contacted via phone (209) 222-5490, or through Kowalczyk, David via phone (410) 910-1500.

Contact Information

Primary practice address
4712 Stoddard Rd Ste 280 Modesto CA 95356-9404
Phone: (209) 222-5490
Fax: (855) 456-7266
Website:
Map and Directions
Authorized official contact:
Name: Kowalczyk, David
Phone: (410) 910-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 100000780 California

Profile Details

NPI number 1174620538
LBN Legal business name Maxim Healthcare Services, Inc.
DBA Doing business as
Authorized official Kowalczyk, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174620538 NPPES
California MEDICAID HHA70313F

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