Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Fairlawn, OH
National Provider Identifier
1154385243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 3737 Embassy Pkwy
Suite 300
Fairlawn, OH 44333-8370 - Phone
- (330) 670-1054
- Fax
- (877) 306-5723
- NPI assigned
- Apr 14, 2006
- 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
- Mr. Christopher Sipes
- Title
- Regional VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3737 Embassy Pkwy
Suite 300
Fairlawn, OH 44333-8370
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702089 | Medicaid | OH | |
| 2108052 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3737 Embassy Pkwy
Ste 300
Fairlawn, OH 44333
Phone (330) 670-1054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1154385243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463236",
"telephone_number": "410-910-1500",
"fax_number": "410-910-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 EMBASSY PKWY",
"address_2": "SUITE 300",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338370",
"telephone_number": "330-670-1054",
"fax_number": "877-306-5723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "SIPES",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702089",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108052",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.