Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

13-1387 Issued in OR

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

10220 SW Greenburg Rd Ste 500
Portland, OR 97223-5508

Phone

(503) 452-4545

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Kowalczyk

Title

Regional Controller

Phone

(410) 910-1730

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Maxim Healthcare Servise337 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

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

• Maxim Healthcare Services

  • Home Health Agency
  • Eugene, OR
  • NPI 1629406301
  NPD tax ID
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Eugene, OR
  • NPI 1407071939
  NPD tax ID

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1306863295",
    "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",
            "telephone_number": "410-910-1500",
            "fax_number": "410-910-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235508",
            "telephone_number": "503-452-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 SW Barbur Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972198691",
            "country_code": "US",
            "telephone_number": "503-452-4545",
            "fax_number": "503-452-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "410-910-1730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Maveal
• Grace Mavromatis
• Kathleen Chandra Mawson, AUD
• Charles David Maxey, M.A.
• Curtis W Maxey
• Karla Francely Maximo Gonzalez
• Kelsey Maxon
• Victoria Maxson
• Maxwell C. Furr, M.D. LLC
• Bryan Geoffrey Maxwell, MD

• Home Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.