Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Ft Worth, TX
National Provider Identifier
1538123740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7096
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 901 W Rosedale St Ste 150
Ft Worth, TX 76104-4672 - Phone
- (817) 877-0904
- Fax
- (817) 877-0492
- NPI assigned
- Apr 14, 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
- Regional VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7096 | TX | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
901 W Rosedale St Ste 150
Ft Worth, TX 76104-4672
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012717 | Medicaid | TX | |
| 147896801 | Medicaid | TX |
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 |
|---|---|---|---|
| 45D0928295 | Maxim Healthcare Services, Inc | Certificate of waiver | May 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
901 W Rosedale St
Ste 200
Ft Worth, TX 76104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1538123740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 LEE DEFOREST DR",
"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": "901 W ROSEDALE ST STE 150",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761044672",
"telephone_number": "817-877-0904",
"fax_number": "817-877-0492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"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": "7096",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012717",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147896801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.