Organization Active NPI

Maxima Group Behavioral Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Franklinton, LA
National Provider Identifier
1265615306
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PCA 10713 Issued in LA
Legal business name
MAXIMA GROUP BEHAVIORAL SERVICES, INC
Practice address
1001 15TH Ave
Franklinton, LA 70438-2101
Phone
(985) 795-1704
Fax
(985) 795-1706
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mr. Byron L Lee
Title
Ceo/Owner
Phone
(985) 795-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PCA 10713 LA Primary

Addresses

Primary practice location

1001 15TH Ave
Franklinton, LA 70438-2101

Mailing address

1001 15TH Ave
Franklinton, LA 70438-2101
Phone (985) 795-1704

Other identifiers 1

IdentifierTypeStateIssuer
1477443MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Maxima Group Behavioral Services Inc12 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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1265615306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382101",
            "telephone_number": "985-795-1704",
            "fax_number": "985-795-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382101",
            "telephone_number": "985-795-1704",
            "fax_number": "985-795-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMA GROUP BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "985-795-1704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "PCA 10713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477443",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.