Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Corpus Christi, TX
National Provider Identifier
1447213111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 8602
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 4444 Corona Dr
Suite 137
Corpus Christi, TX 78411-4324 - Phone
- (361) 814-1455
- Fax
- (361) 814-4006
- NPI assigned
- Apr 11, 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
- Mr. Stephen P Walsh
- Title
- Regional Controller
- Phone
- (410) 910-1581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 8602 | TX | Primary |
Addresses
Primary practice location
4444 Corona Dr
Suite 137
Corpus Christi, TX 78411-4324
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046-3405
Phone (410) 910-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012069 | Medicaid | TX | |
| 1626434-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1447213111",
"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": "4444 CORONA DR",
"address_2": "SUITE 137",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114324",
"telephone_number": "361-814-1455",
"fax_number": "361-814-4006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "REGIONAL CONTROLLER",
"authorized_official_telephone_number": "410-910-1581",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "8602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012069",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1626434-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.