NPIMap

Maxim Healthcare Services, Inc.

Organization Active NPI Home Health Agency · Miamisburg, OH

NPI 1316902174 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1316902174
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
10100 Innovation Dr Ste 230
Miamisburg, OH 45342-4966
Phone
(937) 294-2200
NPI assigned
Apr 17, 2006
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 12

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

Facilities with the same owner 69

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 69

Practitioners 1

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

Medicare Care Compare: Home health agency

Listed as
Maxim Healthcare Services, Inc CCN 368006
Ownership
Proprietary
Certified
Oct 17, 2002
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0972777Maxim Healthcare Services, Inc
2 Prestige Place, Suite 160, Miamisburg, OH 45342		Certificate of waiverApr 16, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Home health agency certification: CCN 368006

Legal name
MAXIM HEALTHCARE SERVICES INC
Doing business as
MAXIM HEALTHCARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2002
Last certification
Feb 14, 2019
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Sep 2, 1988 in MD
Enrollment address
2 Prestige PL
Ste 160
Miamisburg, OH 45342-6145

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maxim Healthcare Services Inc
Organization · Columbia, MD
Corporation 		Other Jan 9, 1996
Joseph W Marshall
Individual 		Corporate Director
Board Member		 Jul 1, 2017
Randall D Sones
Individual 		Corporate Director
Baord Member		 Aug 25, 2009
Duane D Brickhouse
Individual 		W-2 Managing Employee
VP of Finance		 Aug 29, 2022
Jarrod L Depriest
Individual 		Corporate Officer
President		 Jan 1, 2022
Matthew Sticklin
Individual 		Corporate Officer
Cfo		 Aug 29, 2022
Toni-Jean L Friedman
Individual 		Corporate Officer
VP/GC/Secretary		 May 27, 1965
Oak Investment Trust
Organization · Tampa, FL 		5% Or Greater Indirect Ownership Interest Mar 18, 2019 38.89%
Brian Schenkel
Individual 		W-2 Managing Employee Jan 1, 2025
Stephen J Bisciotti
Individual 		5% Or Greater Indirect Ownership Interest Mar 18, 2019 19.94%
Oak Investment Trust II
Organization · Tampa, FL 		5% Or Greater Indirect Ownership Interest Mar 18, 2019 39.35%
Maxim Healthcare Services Holdings, Inc.
Organization · Columbia, MD
Corporation, Holding company, For-profit 		5% Or Greater Direct Ownership Interest Mar 18, 2019 100%

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maxim Healthcare Services Inc
Pueblo, CO · CCN 067413		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
Poland, OH · CCN 368042		 Home health agency Other (100%) Jan 9, 2006
Maxim Healthcare Services Inc
Pittsburgh, PA · CCN 397783		 Home health agency Other (100%) Jan 9, 2006
Maxim Healthcare Services Inc
Tucson, AZ · CCN 037228		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
Sandy, UT · CCN 467212		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Bedford, NH · CCN 307085		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
Harrisburg, PA · CCN 397789		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Plains, PA · CCN 398016		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
Phoenix, AZ · CCN 037242		 Home health agency Other (100%) Apr 25, 2006
Maxim Healthcare Services Inc
Madison, WI · CCN 527290		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Canton, OH · CCN 368007		 Home health agency Other (100%) Jan 9, 2006
Maxim Healthcare Services Inc
Toledo, OH · CCN 367799		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Reno, NV · CCN 297049		 Home health agency Other (100%) Jan 9, 2006
Maxim Healthcare Services Inc
Oxnard, CA · CCN 058352		 Home health agency Other Jan 30, 2006
Maxim Healthcare Services Inc
Anchorage, AK · CCN 027032		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Fresno, CA · CCN 058323		 Home health agency Other Jan 9, 2006
Maxim Healthcare Services Inc
Las Vegas, NV · CCN 297085		 Home health agency Other (100%) Sep 2, 1988
Maxim Healthcare Services Inc
Allentown, PA · CCN 398065		 Home health agency Other (100%) Jun 1, 2007
Maxim Healthcare Services Inc
Colorado Springs, CO · CCN 067325		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
La Junta, CO · CCN 067466		 Home health agency Other (100%) Feb 10, 2012
Maxim Healthcare Services Inc
San Luis Obispo, CA · CCN 059129		 Home health agency Other (100%) Dec 4, 2009
Maxim Healthcare Services Inc
Roseville, CA · CCN 059117		 Home health agency Operational/Managerial Control (100%) Jan 1, 2009
Maxim Healthcare Services Inc
York, PA · CCN 398132		 Home health agency Other (100%) Apr 28, 2010
Maxim Healthcare Services Inc
Evansville, IN · CCN 157680		 Home health agency Other (100%) Jun 30, 2011
Maxim Healthcare Services Inc
Crown Point, IN · CCN 157679		 Home health agency Other (100%) Jun 30, 2011
Maxim Healthcare Services Inc
Los Angeles, CA · CCN 053198		 Home health agency Other (100%) Jun 30, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040628001412 OH Part a Provider - Home Health Agency 1658288410 Practice locations: Miamisburg, OH

National Provider Directory

Tax ID family
Maxim Healthcare Servise (337 organizations share this tax ID)

Locations

10100 Innovation Dr
Ste 230
Miamisburg, OH 45342

2 Prestige Pl
Ste 160
Miamisburg, OH 45342
Phone (937) 294-2200

3055 Kettering Blvd
Ste 319
Moraine, OH 45439
Phone (937) 294-2200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

10100 Innovation Dr Ste 230
Miamisburg, OH 45342-4966

Mailing address

7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500

Other identifiers

IdentifierTypeStateIssuer
2128530MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1316902174",
    "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": "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": "10100 INNOVATION DR STE 230",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424966",
            "telephone_number": "937-294-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128530",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

All providers in Miamisburg, OH · Home Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.