Maxicare Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3362 Issued in AZ

Legal business name

MAXICARE HOME HEALTH, INC.

Practice address

2432 W Peoria Ave Ste 1120
BLDG 5
Phoenix, AZ 85029-4733

Phone

(602) 246-1115

Fax

(602) 246-1114

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Muinat A. Udoinwang, R.N.NPI 1568604445

Title

President/Don

Phone

(602) 246-1115

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muinat Adepeju Udoinwang, RN

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568604445

  Home Health

  NPD Authorized official
• Alberta Watkins

  • Community/Behavioral Health Agency
  • Maricopa, AZ
  • NPI 1902599954
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1285679555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46363",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850636363",
            "telephone_number": "602-246-1115",
            "fax_number": "602-246-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1120",
            "address_2": "BLDG 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294733",
            "telephone_number": "602-246-1115",
            "fax_number": "602-246-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "UDOINWANG",
        "authorized_official_first_name": "MUINAT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/DON",
        "authorized_official_telephone_number": "602-246-1115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF AZ LICENSE",
            "identifier": "HHA3362",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "955693",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph R Mawyer, DO
• Max Behavioral Health Outpatient
• Max Care Center LLC
• Jennifer Maxey
• Aimee Maxfield, FNP-C
• Maxillofacial Surgical Consultants LTD
• Maxim Healthcare Services, Inc,
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Singa Maxime

• All providers in Phoenix, AZ
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.