Organization Active NPI

Maxcare HCBS LLC

Doing business as Complete Homecare PA

  • In Home Supportive Care Agency
  • Harrisburg, PA
National Provider Identifier
1215305107
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAXCARE HCBS LLC
Doing business as
Complete Homecare PA
Practice address
2101 N Front St BLDG 1
Harrisburg, PA 17110-1036
Phone
(717) 695-0115
NPI assigned
Sep 9, 2015
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Vikram Kaul
Title
President
Phone
(917) 847-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2101 N Front St BLDG 1
Harrisburg, PA 17110-1036

Mailing address

2101 N Front St BLDG 1
Harrisburg, PA 17110-1036
Phone (717) 695-0115

Other identifiers 1

IdentifierTypeStateIssuer
103066493MedicaidPA

Other names 1

  • Complete Homecare PA Doing business as

National Provider Directory

National Provider Directory

Locations

2101 N Front St
Bldg 1
Harrisburg, PA 17110
Phone (717) 238-3549

3544 N Progress Ave
Ste 202
Harrisburg, PA 17110

20 Erford Rd
Ste 204
Lemoyne, PA 17043
Phone (717) 761-8332

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1215305107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N FRONT ST BLDG 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101036",
            "telephone_number": "717-695-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N FRONT ST BLDG 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101036",
            "telephone_number": "717-695-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE HCBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-847-0810"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103066493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Homecare PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.