Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

3 Summit Park Dr
Suite 425
Independence, OH 44131-2599

Phone

(216) 765-0007

Fax

(866) 941-7392

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Fuller

Title

Regional VP of Finance

Phone

(410) 910-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1619932472",
    "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": "210463405",
            "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": "3 SUMMIT PARK DR",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312599",
            "telephone_number": "216-765-0007",
            "fax_number": "866-941-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
        "authorized_official_telephone_number": "410-910-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kudzai Matemachani, SWT
• Christopher Daniel Matthews, LSW
• Dana Y Matthews, PHD., LPCC-S, NCC
• Hannah Mattix, APRN-CNP, RN
• Tywuan Mauldin
• Kerri Mazzone, LISW-S
• Stephanie McCain, MS, MFT
• Leann McClain, FNP
• Tayler Rae McClain
• John McCormac, M.D.

• Home Health Agency in Independence, OH
• Providers in Independence, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.