NPIMap

Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • West Orange, NJ
National Provider Identifier
1285721860
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CAHC Issued in NJ
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
1 Boland Dr Ste 104
West Orange, NJ 07052-3686
Phone
(973) 378-5551
NPI assigned
Oct 6, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Chris Sipes
Title
VP of Finance
Phone
(410) 910-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CAHC NJ Primary

Addresses

Primary practice location

1 Boland Dr Ste 104
West Orange, NJ 07052-3686

Mailing address

7227 Lee Deforest Dr.
Columbia, MD 21046

Other practice location 1

76 South Orange Ave.
Suite 1
South Orange, NJ 07079
Phone (973) 378-5551

Other identifiers 1

IdentifierTypeStateIssuer
95907MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Maxim Healthcare Services Inc337 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

76 S Orange Ave
Ste 1
South Orange, NJ 07079
Phone (973) 378-5551

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285721860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LEE DEFOREST DR.",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOLAND DR STE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523686",
            "telephone_number": "973-378-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 South Orange Ave.",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "07079",
            "country_code": "US",
            "telephone_number": "973-378-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "CAHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.