Maxco Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXCO HOME HEALTH CARE LLC

Doing business as

Max
Maxco Home Health Care

Practice address

4144 Lindell Blvd Ste 219
Saint Louis, MO 63108-2932

Phone

(314) 267-0363

Fax

(314) 261-9515

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sharona McClendon

Title

Director/Ceo

Phone

(314) 267-0363

Specialties & licenses 1

Addresses

Other names 2

• Max Doing business as
• Maxco Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1063926558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082932",
            "telephone_number": "314-267-0363",
            "fax_number": "314-261-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082932",
            "telephone_number": "314-267-0363",
            "fax_number": "314-261-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4144 Lindell Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082932",
            "country_code": "US",
            "telephone_number": "314-267-0363",
            "fax_number": "314-261-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXCO HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "SHARONA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "314-267-0363",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maxco Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Mavers-Vogel
• Melissa Michelle Mavers, MD
• Despina Mavridou
• Olivia R Max, MD
• Dwayne E Maxam, PT
• Kendra Maxey, FNP
• Lucas Aaron Maxey, CRNA
• Monique Adrianne Maxey, PSYD
• Clayton Maxfield, RPH
• Daniel M Maxfield, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.