Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1356444202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 11330 Olive Blvd
Suite 200
Saint Louis, MO 63141-7149 - Phone
- (314) 569-3935
- Fax
- (877) 615-6495
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachel Fuller
- Title
- Regional VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11330 Olive Blvd
Suite 200
Saint Louis, MO 63141-7149
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046
Phone (410) 910-1500
National Provider Directory
National Provider DirectoryLocations
11330 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (314) 569-3935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376006400000",
"number": "1356444202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST DRIVE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21046",
"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": "11330 OLIVE BLVD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417149",
"telephone_number": "314-569-3935",
"fax_number": "877-615-6495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2013-08-09",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.