Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1467415323
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007632 Issued in TX
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

Updated by the provider on Feb 15, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
147896802MedicaidTX
001003923MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.