Maxim Healthcare Services, Inc.

LBN: Maxim Healthcare Services, Inc.
Maxim Healthcare Services, Inc. is an health care organization with primary practice located at 1260 North Dulton Avenue Suite 230, Santa Rosa CA 95401. 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 (707) 577-0910, or through Kowalczyk, David via phone (410) 910-1500.

Contact Information

Primary practice address
1260 North Dulton Avenue Suite 230 Santa Rosa CA 95401
Phone: (707) 577-0910
Fax: (707) 577-0918
Website:
Map and Directions
Authorized official contact:
Name: Kowalczyk, David
Phone: (410) 910-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 10000431 California

Profile Details

NPI number 1861599219
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 Aug 22nd, 2020 - about 5 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 1861599219 NPPES
California MEDICAID HHA70306F

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