Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0004 Issued in CT

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

40 Richards Ave
6TH Floor
Norwalk, CT 06854-2319

Phone

(203) 857-0529

Fax

(203) 857-0738

NPI assigned

Oct 25, 2006

Last updated

Jun 9, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Sipes

Title

Regional VP of Finance

Phone

(410) 910-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1003991704",
    "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",
            "telephone_number": "410-910-1500",
            "fax_number": "410-910-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 RICHARDS AVE",
            "address_2": "6TH FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542319",
            "telephone_number": "203-857-0529",
            "fax_number": "203-857-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004220943",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDER",
            "identifier": "00422064",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Matlick, APRN
• Liana Mattera, MA, LPC-A
• Amy Madeleine Matton, DACM, L.AC.
• Anne S Mauk, PA-C
• Theresa Maxam, FNP-BC, APRN
• Eric M Mazur, M.D.
• MBS Counseling, LLC
• McAllister Psychiatry & Psychotherapy, LLC
• Caryn McAllister, PT
• Sarah McAllister, M.D.

• Home Health Agency in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.