Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- North Olmsted, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 25000 Country Club Blvd Ste 200
North Olmsted, OH 44070-5332 - Phone
- (440) 617-9559
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 1, 2026
- 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
- VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
25000 Country Club Blvd Ste 200
North Olmsted, OH 44070-5332
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046
Phone (410) 910-1500
Other practice location 1
1991 Crocker Rd
Suite 405 & 425
Westlake, OH 44145-6969
Phone (440) 617-9559
Other practice location 2
1991 Crocker Rd Ste 405
Westlake, OH 44145-1998
Phone (440) 617-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2196791 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000437 | OH | Part A Provider - Home Health Agency | 1658288410 | Practice locations: North Olmstead, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487734257. Details of each certification follow.
Home health agency certification: CCN 368000
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 5, 2002
- Last certification
- May 16, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 2, 1988 in MD
- Enrollment address
- 25000 County Club Blvd
Suite 200
North Olmstead, OH 44070
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maxim Healthcare Services, Inc
- Ownership
- Proprietary
- Certified
- Sep 5, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0983175 | Maxim Healthcare Services, Inc | Certificate of waiver | Feb 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Home Health Agency
- Blue Ash, OH
- NPI 1043149545
-
- Home Health Agency
- Mentor, OH
- NPI 1124298609
-
- Home Health Agency
- Blue Ash, OH
- NPI 1306800172
-
- Home Health Agency
- Miamisburg, OH
- NPI 1316902174
-
- Home Health Agency
- Milan, OH
- NPI 1356635346
-
- Home Health Agency
- Poland, OH
- NPI 1568542330
-
- Home Health Agency
- Columbus, OH
- NPI 1639134463
-
- Home Health Agency
- Canton, OH
- NPI 1669437919
-
- Home Health Agency
- Toledo, OH
- NPI 1710074265
-
- Home Health Agency
- Ontario, OH
- NPI 1841370616
-
- Home Health Agency
- Saint Clairsville, OH
- NPI 1902047079
-
- Home Health Agency
- Hebron, OH
- NPI 1942449905
Locations
25000 Country Club Blvd
Ste 200
North Olmsted, OH 44070
Phone (440) 617-9559
1991 Crocker Rd
Ste 405
Westlake, OH 44145
Phone (440) 617-9559
1991 Crocker Rd
Ste 425
Westlake, OH 44145
Phone (440) 617-9559
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer L Peck | W-2 Managing Employee | Jun 21, 2018 | |
| Joseph W Marshall | Corporate Director | Jul 1, 2017 | |
| Randall D Sones | Corporate Director | Aug 25, 2009 | |
| Jarrod L Depriest | Corporate Officer | Jan 1, 2022 | |
| Matthew Sticklin | Corporate Officer | Aug 29, 2022 | |
| Toni-Jean L Friedman | Corporate Officer | Nov 1, 2009 | |
| Christopher P Sipes | W-2 Managing Employee | Jan 1, 2022 | |
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 38.89% |
| Stephen J Bisciotti | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.94% |
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| Maxim Healthcare Services Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
All facility ownership & control disclosures 27
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services, Inc. | Home health agency | Other | Jan 9, 1996 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 25, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 30, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Sep 2, 1988 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 1, 2007 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Dec 4, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 28, 2010 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
Facilities with the same owner 69
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Mentor, OH
- NPI 1124298609
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Blue Ash, OH
- NPI 1306800172
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Miamisburg, OH
- NPI 1316902174
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Poland, OH
- NPI 1568542330
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Columbus, OH
- NPI 1639134463
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Canton, OH
- NPI 1669437919
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Toledo, OH
- NPI 1710074265
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Ontario, OH
- NPI 1841370616
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Hebron, OH
- NPI 1942449905
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1326771015
Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Oak Investment Trust, Oak Investment Trust II
-
dba Casa de las Campanas
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Oak Investment Trust, Oak Investment Trust II
Practitioners & affiliated clinicians
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.
-
- Licensed Practical Nurse
- North Olmsted, OH
- NPI 1568297240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1487734257",
"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": "21046",
"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": "25000 COUNTRY CLUB BLVD STE 200",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440705332",
"telephone_number": "440-617-9559"
}
],
"practiceLocations": [
{
"address_1": "1991 Crocker Rd",
"address_2": "Suite 405 & 425",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441456969",
"country_code": "US",
"telephone_number": "440-617-9559",
"fax_number": "440-617-9558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1991 Crocker Rd Ste 405",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441451998",
"country_code": "US",
"telephone_number": "440-617-9559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2196791",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.