Organization Active NPI

Maximum Life Health Center, Inc.

  • Chiropractor
  • Stone Mountain, GA
National Provider Identifier
1154656635
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07890 Issued in GA
Legal business name
MAXIMUM LIFE HEALTH CENTER, INC.
Practice address
5385 Five Forks Trickum Rd
Suite F
Stone Mountain, GA 30087-3018
Phone
(770) 923-7966
Fax
(770) 923-6191
NPI assigned
Oct 16, 2009
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Max A Horowitz, D.C.NPI 1043459233
Title
President
Phone
(770) 923-7966

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)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07890 GA Primary

Addresses

Primary practice location

5385 Five Forks Trickum Rd
Suite F
Stone Mountain, GA 30087-3018

Mailing address

5385 Five Forks Trickum Rd
Suite F
Stone Mountain, GA 30087-3018
Phone (770) 923-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000537 GA Part B Supplier - Clinic/Group Practice 4981741733 Receives reassigned benefits from 1 practitioner
Practice locations: Stone Mountain, GA

National Provider Directory

National Provider Directory

Locations

1316 Rockbridge Rd
Ste O
Stone Mtn, GA 30087
Phone (770) 923-7966

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1154656635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873018",
            "telephone_number": "770-923-7966",
            "fax_number": "770-923-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873018",
            "telephone_number": "770-923-7966",
            "fax_number": "770-923-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM LIFE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-923-7966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.