Maxim Healthcare Services, Inc.
Organization Active NPI Home Health Agency · Oxnard, CA
NPI 1417065699 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1417065699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 050000590 (CA)
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 300 E Esplanade Dr Ste 1500
Oxnard, CA 93036-0244 - Phone
- (805) 278-4593
- Fax
- (805) 278-8853
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
Authorized official
- Name
- David Kowalczyk
- Title
- Executive VP of Finance
- Phone
- (410) 910-1500
Corporate family (same tax ID) 24
Facilities with the same owner 69
Practitioners 1
-
Eleanor Abiva, RN
Medicare Care Compare: Home health agency
- Listed as
- Maxim Healthcare Services Inc
- Ownership
- Proprietary
- Certified
- Feb 9, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 058352
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 9, 2007
- Last certification
- Dec 13, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Sep 2, 1988 in MD
- Enrollment address
- 500 E Esplanade Dr
Ste 660
Oxnard, CA 93036-0530
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Maxim Healthcare Services Inc |
Other | Jan 30, 2006 | |
| Joseph W Marshall |
Corporate Director |
Jul 1, 2017 | |
| Randall D Sones |
Corporate Director |
Aug 25, 2009 | |
| Jarrod L Depriest |
Corporate Officer |
Jan 1, 2022 | |
| Matthew Sticklin |
Corporate Officer |
Aug 29, 2022 | |
| David S. Kowalczyk |
W-2 Managing Employee |
Oct 15, 2012 | |
| Toni-Jean L Friedman |
Corporate Officer |
Nov 1, 2009 | |
| Oak Investment Trust |
5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 38.89% |
| Stephen J Bisciotti |
5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.94% |
| Oak Investment Trust II |
5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| James C Davis |
Corporate Director |
Sep 2, 1988 | |
| Maxim Healthcare Services Holdings, Inc. |
5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
| William J Butz |
Corporate Director |
Apr 21, 2016 |
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services, Inc. |
Home health agency | Other | Jan 9, 1996 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Apr 25, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Sep 2, 1988 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jun 1, 2007 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Dec 4, 2009 |
| Maxim Healthcare Services Inc |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Apr 28, 2010 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc |
Home health agency | Other (100%) | Jun 30, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051003000244 | CA | Part a Provider - Home Health Agency | 1658288410 | Practice locations: Oxnard, CA |
National Provider Directory
- Tax ID family
- Maxim Healthcare Servise
Locations
300 E Esplanade Dr
Ste 1500
Oxnard, CA 93036
Phone (805) 278-4593
500 E Esplanade Dr
Ste 300
Oxnard, CA 93036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 050000590 | CA | Yes |
Addresses
Primary practice location
300 E Esplanade Dr Ste 1500
Oxnard, CA 93036-0244
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046
Phone (410) 910-1500
Other providers in Oxnard, CA
- Gayle Matthews
- Laurell Mauro
- Max E Rodriguez MD Inc
- Max M Stearns MD Inc
- Maxim Healthcare Services, Inc.
- Melissa Elaine Mayer
- Mazdeyasnan Pharmaceutical
- Marena Mazurek
- Alejandra Naranjo Mazzarelli
- Andrea McCain
All providers in Oxnard, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.