Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

80000381 Issued in CA

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

3111 Camino del Rio N Ste 1200
San Diego, CA 92108-5747

Phone

(619) 299-9350

NPI assigned

Apr 11, 2006

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kowalczyk

Title

Controller

Phone

(410) 910-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minette Bonner-Finnigan, REGISTERED NURSE

  • Registered Nurse
  • San Diego, CA
  • NPI 1851875777
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1417910126",
    "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": "210463405",
            "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": "3111 CAMINO DEL RIO N STE 1200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085747",
            "telephone_number": "619-299-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12975 Brookprinter Pl",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920648894",
            "country_code": "US",
            "telephone_number": "858-831-0308",
            "fax_number": "858-831-9337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5030 Camino De La Siesta Ste 405",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083120",
            "country_code": "US",
            "telephone_number": "619-299-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "80000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Max, MSW
• Kate Elizabeth Maxfield-Hill, MD
• Ingrid Lynn Maxie
• Maxim Healthcare
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxine Dumser, LMFT Family Therapy Services Inc (Private Practice)
• Eva J Maxion, MSW, LCSW
• Jennifer Maxon

• Home Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.