Maxim Healthcare Services

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

679391 Issued in TX

Legal business name

MAXIM HEALTHCARE SERVICES

Practice address

4444 Corona Dr Ste 137
Corpus Christi, TX 78411-4323

Phone

(361) 814-1455

Fax

(361) 814-4066

NPI assigned

Dec 1, 2008

Organization subpart

Yes

Parent organization

MAXIM HEALTHCARE SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Margaret Irving, R.N.

Title

Director of Clinical Services

Phone

(361) 814-1455

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Maxim Healthcare Services

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1043465222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 137",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-814-1455",
            "fax_number": "361-814-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 137",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-814-1455",
            "fax_number": "361-814-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIM HEALTHCARE SERVICES",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "361-814-1455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": "TX",
            "license": "679391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "521590951",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Maurer, MD
• Maurice N. Ugwuibe, M.D. P.a.
• Maurice S Grossman MD Facp PA
• Ana Corina Mavarez Martinez, M.D.
• Shamim B Mawji, M.D.
• Maxim Healthcare Services, Inc.
• Maximum Mobility, Inc.
• Matthew Maxwell
• Tanner Maxwell, PTA
• James Merideth May, M.D.

• Nursing Home Administrator in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nursing Home Administrator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.