Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Mobile, AL
National Provider Identifier
1205913332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- EXEMPT
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 3103 Airport Blvd
Suite 454
Mobile, AL 36606-3664 - Phone
- (251) 470-0223
- NPI assigned
- Nov 1, 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
- Jeremy Smith
- Title
- Controller
- Phone
- (410) 910-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | EXEMPT | AL | Primary |
Addresses
Primary practice location
3103 Airport Blvd
Suite 454
Mobile, AL 36606-3664
Mailing address
7227 Lee Deforest Rd
Columbia, MD 21046-3236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PVT0077Z | Medicaid | AL |
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Home Health Agency
- Birmingham, AL
- NPI 1629153341
Locations
3103 Airport Blvd
Ste 454
Mobile, AL 36606
Phone (251) 470-0223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205913332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 AIRPORT BLVD",
"address_2": "SUITE 454",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063664",
"telephone_number": "251-470-0223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AL",
"license": "EXEMPT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PVT0077Z",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.