Maxim Healthcare

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

MAXIM HEALTHCARE

Practice address

783 Kings Hwy
Lincoln Park, MI 48146-3138

Phone

(734) 972-4714

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Adriana Avila, RN

Title

Registered Nurse

Phone

(734) 972-4717

Specialties & licenses 1

Addresses

Other names 1

• COMMONGROUND Doing business as

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1083334296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 KINGS HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463138",
            "telephone_number": "734-972-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "734-972-4717",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMONGROUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahetia Adedra Marsh, LLC
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• Eleonora Marza
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• Sandra Kay Mastrogiacomo
• Tenisha Maxwell, LMT
• May Ella and Assoicates LLC
• May Sue Case Management LLC
• MB Wellness Pharmacy
• Willie James McConico Jr., GENERALIST

• Adult Psychiatric/Mental Health Registered Nurse in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.