NPIMap

Organization Active NPI

Maxim of New York, LLC

Doing business as Maxim Healthcare Services

  • Home Health Agency
  • Rochester, NY
National Provider Identifier
1265543706
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1121L003 Issued in NY
Legal business name
MAXIM OF NEW YORK, LLC
Doing business as
Maxim Healthcare Services
Practice address
150 State St Ste 300
Rochester, NY 14614-1353
Phone
(585) 484-3550
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
David Kowalczyk
Title
VP of Finance
Phone
(410) 910-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1121L003 NY Primary

Addresses

Primary practice location

150 State St Ste 300
Rochester, NY 14614-1353

Mailing address

7227 Lee Deforest Rd
Columbia, MD 21046-3236

Other practice location 1

150 State St
Suite 140
Rochester, NY 14614-1353
Phone (585) 454-3550

Other identifiers 3

IdentifierTypeStateIssuer
02621396-003MedicaidNY
02319175-005MedicaidNY
0232438507MedicaidNY

Other names 1

  • Maxim Healthcare Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maxim Healthcare Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

159 Wolf Rd
Ste 105
Colonie, NY 12205

150 State St
Ste 300
Rochester, NY 14614
Phone (585) 454-3500

150 State St
Ste 140
Rochester, NY 14614
Phone (585) 454-3550

900 Merchants Concourse
Ste 412
Westbury, NY 11590
Phone (516) 565-6322

1025 Westchester Ave
Ste 305
White Plains, NY 10604
Phone (914) 997-0420

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1265543706",
    "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": "150 STATE ST STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141353",
            "telephone_number": "585-484-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 State St",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146141353",
            "country_code": "US",
            "telephone_number": "585-454-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1121L003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621396-003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02319175-005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232438507",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxim Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maxim Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.