Maxim Healthcare Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

22 495291 Issued in NY

Legal business name

MAXIM HEALTHCARE SERVICES

Practice address

150 State St
Suite 140
Rochester, NY 14614-1353

Phone

(585) 454-3550

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn R Hettinger, REGISTERED NURSE

Title

Clinical Supervisor

Phone

(585) 454-3550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1447561758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STATE ST",
            "address_2": "SUITE 140",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141353",
            "telephone_number": "585-454-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STATE ST",
            "address_2": "SUITE 140",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141353",
            "telephone_number": "585-454-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HETTINGER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "585-454-3550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "22 495291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Maves, DO
• Jennifer Maxa, LCSW
• Tibett Shanti Maxey
• Tyvonise Maxey, PLN
• Maxim Health Care
• Maxim of New York, LLC (Maxim Healthcare Services)
• Maxim of New York, LLC
• Maxwell Boev Medical Group PLLC
• Maxwell Boev Medical Group PLLC
• Deanna Maxwell, LMSW

• Case Management Agency in Rochester, NY
• Providers in Rochester, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.