Active NPI
Maxim Healthcare Services Inc.
- Community/Behavioral Health Agency
- Charleston, WV
National Provider Identifier
1003280405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES INC.
- Practice address
- 900 Virginia St E Ste 400
Charleston, WV 25301-2835 - Phone
- (681) 313-4759
- NPI assigned
- Nov 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Kowalczyk
- Title
- Controller
- Phone
- (410) 910-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Other practice location 1
314 Goff Mountain Rd
Suite 6
Charleston, WV 25313-6602
Phone (304) 776-2047
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1649845587
-
- Home Health Agency
- Charleston, WV
- NPI 1487758710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665100800000",
"number": "1003280405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VIRGINIA ST E STE 400",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012835",
"telephone_number": "681-313-4759"
}
],
"practiceLocations": [
{
"address_1": "314 Goff Mountain Rd",
"address_2": "Suite 6",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253136602",
"country_code": "US",
"telephone_number": "304-776-2047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-23",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.