Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Austin, TX
National Provider Identifier
1467415323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007632
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 3737 Executive Center Dr Ste 255
Austin, TX 78731-1633 - Phone
- (512) 340-0171
- NPI assigned
- Apr 10, 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
- David Kowalczyk
- Title
- Regional VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007632 | TX | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
3737 Executive Center Dr Ste 255
Austin, TX 78731-1633
Mailing address
7227 Lee Deforest Rd
Columbia, MD 21046-3236
Phone (410) 910-1500
Other practice location 1
3737 Executive Center Dr
Austin, TX 78731-1647
Phone (512) 340-0171
Other practice location 2
3636 Executive Center Dr Ste 150
Austin, TX 78731-1670
Phone (512) 340-0171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147896802 | Medicaid | TX | |
| 001003923 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
3737 Executive Center Dr
Austin, TX 78731
Phone (512) 340-0171
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Behavior Technician
- Austin, TX
- NPI 1972479152
-
- Behavior Technician
- Austin, TX
- NPI 1801729082
-
- Behavior Technician
- Austin, TX
- NPI 1679450688
-
- Behavior Technician
- Austin, TX
- NPI 1972359651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1467415323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463236",
"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": "3737 EXECUTIVE CENTER DR STE 255",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311633",
"telephone_number": "512-340-0171"
}
],
"practiceLocations": [
{
"address_1": "3737 Executive Center Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787311647",
"country_code": "US",
"telephone_number": "512-340-0171",
"fax_number": "512-340-0176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3636 Executive Center Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787311670",
"country_code": "US",
"telephone_number": "512-340-0171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "007632",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147896802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001003923",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Danya Maxfield
- Christline Maxi
- Alexis Maxie
- Maxillofacial Surgery Services of Central Texas, PLLC
- Maxim Healthcare Services, Inc.
- Maximize Recovery Lab LLC
- Maxmath Tutoring Online Inc Texas Branch (MaxMath Home Health Care Agency of Texas)
- Maxwell C. Nwanebu (Southwest Medical Services And Supplies)
- Aaron Chase Maxwell, MD
- Caroline Maxwell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.