Maxcare, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

PT0016250 Issued in NM

Legal business name

MAXCARE, INC.

Practice address

1114 Pennsylvania St NE
Albuquerque, NM 87110-7406

Phone

(505) 271-2433

Fax

(505) 237-0715

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Sara Buergi

Title

Executive Director

Phone

(505) 271-2433

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063578789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 PENNSYLVANIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107406",
            "telephone_number": "505-271-2433",
            "fax_number": "505-237-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 PENNSYLVANIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107406",
            "telephone_number": "505-271-2433",
            "fax_number": "505-237-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUERGI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-271-2433"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NM",
            "license": "PT0016250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D2513",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa C Maury
• Margaret B Maury, OT
• Leah Maus, RD
• Marcello Argeo Maviglia, MD,MPH
• Davita Mawulawde
• Annette M Maxedon, CFNP
• Michelle Maxedon, MS, LCGC
• Jo A Maxey
• Maxgoal LLC
• Maxim Healthcare Services, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.