Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Charleston, WV
National Provider Identifier
1487758710
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810003343MedicaidWV
1007298320021MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Maxim Healthcare Servise337 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.