Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Charleston, WV
National Provider Identifier
1487758710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 900 Virginia St E Ste 400
Charleston, WV 25301-2835 - Phone
- (681) 313-4759
- NPI assigned
- Sep 8, 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
- Executive VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Mailing address
900 Virginia St E Ste 400
Charleston, WV 25301-2835
Other practice location 1
313 MacCorkle Ave SW Ste 200
South Charleston, WV 25303-1263
Phone (681) 313-4759
Other practice location 2
314 Goff Mountain Rd
Suite 6
Charleston, WV 25313-1415
Phone (304) 776-2047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003343 | Medicaid | WV | |
| 1007298320021 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1003280405
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1649845587
Locations
900 Virginia St E
Ste 400
Charleston, WV 25301
314 Goff Mountain Rd
Ste 6
Charleston, WV 25313
Phone (304) 776-2047
313 Maccorkle Ave SW
Ste 200
South Charleston, WV 25303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1487758710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VIRGINIA ST E STE 400",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VIRGINIA ST E STE 400",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012835",
"telephone_number": "681-313-4759"
}
],
"practiceLocations": [
{
"address_1": "313 MacCorkle Ave SW Ste 200",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253031263",
"country_code": "US",
"telephone_number": "681-313-4759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Goff Mountain Rd",
"address_2": "Suite 6",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253131415",
"country_code": "US",
"telephone_number": "304-776-2047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EXECUTIVE VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003343",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007298320021",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.