Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 1 Belmont Ave Ste 800
Bala Cynwyd, PA 19004-1611 - Phone
- (610) 617-0366
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 1, 2026
- 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
- David Kowalczyk
- Title
- Controller
- Phone
- (410) 910-1500
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1 Belmont Ave Ste 800
Bala Cynwyd, PA 19004-1611
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other practice location 1
301 E City Line Ave
Suite 300
Bala Cynwyd, PA 19004-1708
Phone (610) 617-8766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007298320055 | Medicaid | PA | |
| 1007298320017 | Medicaid | PA | |
| 1007298320001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150223000349 | PA | Part A Provider - Home Health Agency | 1658288410 | Practice locations: Bala Cynwyd, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174556195. Details of each certification follow.
Home health agency certification: CCN 398238
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 11, 2015
- Last certification
- May 21, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 2, 1988 in MD
- Enrollment address
- 1 Belmont Ave
Ste 800
Bala Cynwyd, PA 19004-1611
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maxim Healthcare Services, Inc
- Ownership
- Proprietary
- Certified
- Jun 11, 2015
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph W Marshall | Corporate Director | Jul 1, 2017 | |
| Randall D Sones | Corporate Director | Oct 1, 2009 | |
| Duane D Brickhouse | W-2 Managing Employee | Jan 1, 2022 | |
| Jarrod L Depriest | Corporate Officer | Jan 1, 2022 | |
| Raymond a Carbone | Corporate Officer | Jan 1, 2014 | |
| Toni-Jean L Friedman | Corporate Officer | Nov 1, 2009 | |
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 38.89% |
| Stephen J Bisciotti | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.94% |
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| James C Davis | Corporate Director | Sep 2, 1988 | |
| Maxim Healthcare Services Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
| William J Butz | Corporate Director | Jul 1, 2017 |
All facility ownership & control disclosures 27
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services, Inc. | Home health agency | Other | Jan 9, 1996 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 25, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 30, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Sep 2, 1988 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 1, 2007 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Dec 4, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 28, 2010 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
Facilities with the same owner 69
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Continuing Care at Maris Grove
- Skilled Nursing Facility
- Glen Mills, PA
- NPI 1053566455
Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Harrisburg, PA
- NPI 1871698811
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Williamsport, PA
- NPI 1114179819
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Pittsburgh, PA
- NPI 1174610042
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Plains, PA
- NPI 1205923190
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Exton, PA
- NPI 1518075167
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- York, PA
- NPI 1679700405
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Reading, PA
- NPI 1831302025
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Allentown, PA
- NPI 1952330797
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1326771015
Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Oak Investment Trust, Oak Investment Trust II
-
dba Casa de las Campanas
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Oak Investment Trust, Oak Investment Trust II
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1174556195",
"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": "1 BELMONT AVE STE 800",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041611",
"telephone_number": "610-617-0366"
}
],
"practiceLocations": [
{
"address_1": "301 E City Line Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190041708",
"country_code": "US",
"telephone_number": "610-617-8766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007298320055",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007298320017",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007298320001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.