Maxmed Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008735 Issued in TX

Legal business name

MAXMED HEALTHCARE, INC

Practice address

506 E Ramsey Rd
Suite 1
San Antonio, TX 78216-4657

Phone

(210) 599-3233

Fax

(210) 579-6654

NPI assigned

Feb 8, 2007

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Olusegun Oyewole

Title

Administrator

Phone

(210) 979-7805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Prime Home Health, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1649813874

  Sold to, 2019-08-07

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1497895171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590161",
            "telephone_number": "210-599-3233",
            "fax_number": "210-579-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E RAMSEY RD",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164657",
            "telephone_number": "210-599-3233",
            "fax_number": "210-579-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXMED HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "OYEWOLE",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-979-7805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170427201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreecharan Reddy Mavuram, M.D
• Gregory D Maxey, LPC
• Melissa Jane Maxie-Hall
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxwell Medical Services, Inc
• Amanda Dawn Maxwell, LVN
• Edward Maxwell, PA
• Lucy Maxwell
• Pamela R Maxwell, PHARM.D., BCPS

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.

Verify at the official NPI Registry.