Active NPI
Maxim Healthcare Services
- Nursing Care Agency
- Lockport, NY
National Provider Identifier
1154159929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES
- Practice address
- 5 Bright St
Lockport, NY 14094-4103 - Phone
- (716) 994-5921
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney R Potter, LPN
- Title
- LPN
- Phone
- (716) 994-5921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
5 Bright St
Lockport, NY 14094-4103
Mailing address
113 Pheasant Run Rd
Amherst, NY 14228-1867
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Vocational Nurse
- Lockport, NY
- NPI 1306670302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1154159929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PHEASANT RUN RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142281867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BRIGHT ST",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944103",
"telephone_number": "716-994-5921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LPN",
"authorized_official_telephone_number": "716-994-5921",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.