Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 455 N Sherman St Ste 510
Denver, CO 80203-4405 - Phone
- (303) 487-7143
- Fax
- (303) 487-7203
- NPI assigned
- Apr 14, 2006
- Organization subpart
- Yes
- Parent organization
- MAXIM HEALTHCARE SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David S Kowalczyk
- Title
- Regional Controller
- Phone
- (410) 910-1730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
455 N Sherman St Ste 510
Denver, CO 80203-4405
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046-3405
Phone (410) 910-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52559831 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071002000222 | CO | Part A Provider - Home Health Agency | 1658288410 | Practice locations: Denver, CO |
Home health agency certification: CCN 067486
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 5, 2010
- Last certification
- Jul 1, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1988 in MD
- Enrollment address
- 455 N Sherman St
Ste 510
Denver, CO 80203-4405
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maxim Healthcare Services Inc
- Ownership
- Proprietary
- Certified
- Nov 5, 2010
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider Directory- Part of
- Maxim Healthcare Servise
Locations
3300 N Central Ave
Ste 2500
Phoenix, AZ 85012
Phone (602) 216-0110
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Ste 1200
Tucson, AZ 85711
Phone (520) 790-8200
4540 California Ave
Ste 400
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Phone (661) 322-3039
47250 Washington St
Ste B
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Phone (760) 469-3169
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Ste 280
Modesto, CA 95356
Phone (209) 222-5490
1651 Response Rd
Ste 200
Sacramento, CA 95815
Phone (916) 974-2599
27555 Ynez Rd
Ste 300
Temecula, CA 92591
Phone (951) 466-3196
3665 John F Kennedy Pkwy
Ste 330
Fort Collins, CO 80525
317 W 3rd St
Ste 100
La Junta, CO 81050
Phone (719) 383-0445
11 Executive Dr
Ste 1
Fairview Heights, IL 62208
Phone (618) 628-7551
10811 W 143rd St
Ste 210
Orland Park, IL 60467
Phone (708) 459-9121
973 Featherstone Rd
Ste 210
Rockford, IL 61107
Phone (815) 484-0000
1954 Greenspring Dr
#330335
Lutherville Timonium, MD 21093
1120 Benfield Blvd
Ste Ab
Millersville, MD 21108
Phone (443) 274-3071
8300 Jefferson St NE
Ste A
Albuquerque, NM 87113
Phone (505) 542-3131
10220 SW Greenburg Rd
Ste 500
Portland, OR 97223
Phone (503) 452-4545
9815 S Monroe St
Ste 400
Sandy, UT 84070
Phone (801) 685-7070
406 W Main St
Fl 2
Abingdon, VA 24210
Phone (276) 619-5106
100 Concourse Blvd
Ste 101
Glen Allen, VA 23059
Phone (804) 355-9800
1332 Plantation Rd NE
Roanoke, VA 24012
Phone (540) 725-1572
12632 Darby Brook Ct
#B3B4
Woodbridge, VA 22192
950 Broadway
Ste 301
Tacoma, WA 98402
Phone (253) 292-4354
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph W Marshall | Corporate Director | Jul 1, 2017 | |
| Randall D Sones | Corporate Director | Aug 25, 2009 | |
| Jarrod L Depriest | Corporate Officer | Jan 1, 2022 | |
| Matthew Sticklin | Corporate Officer | Aug 29, 2022 | |
| David S. Kowalczyk | W-2 Managing Employee | Oct 15, 2012 | |
| Toni-Jean L Friedman | Corporate Officer | Nov 1, 2009 | |
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.89% |
| Stephen J Bisciotti | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.73% |
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| Maxim Healthcare Services Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
All facility ownership & control disclosures 27
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services, Inc. | Home health agency | Other | Jan 9, 1996 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 25, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 30, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Sep 2, 1988 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 1, 2007 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Dec 4, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 28, 2010 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
Facilities with the same owner 69
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1629025507
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- La Junta, CO
- NPI 1689603482
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Fort Collins, CO
- NPI 1801825690
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Pueblo, CO
- NPI 1871523514
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Wind Crest
- Skilled Nursing Facility
- Highlands Ranch, CO
- NPI 1316285729
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1326771015
Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Oak Investment Trust, Oak Investment Trust II
-
dba Casa de las Campanas
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Palm Beach Gardens, FL
- NPI 1114008570
Oak Investment Trust, Oak Investment Trust II
-
dba Terraces at the Clare
- Skilled Nursing Facility
- Chicago, IL
- NPI 1902167349
Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Eagle's Trace
- Skilled Nursing Facility
- Houston, TX
- NPI 1144580192
Oak Investment Trust, Oak Investment Trust II
-
dba Continuing Care at Fox Run
- Skilled Nursing Facility
- Novi, MI
- NPI 1750447223
Oak Investment Trust, Oak Investment Trust II
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Albuquerque, NM
- NPI 1285429290
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": "1680566400000",
"number": "1649234782",
"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": "455 N SHERMAN ST STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802034405",
"telephone_number": "303-487-7143",
"fax_number": "303-487-7203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAXIM HEALTHCARE SERVICES, INC.",
"enumeration_date": "2006-04-14",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "REGIONAL CONTROLLER",
"authorized_official_telephone_number": "410-910-1730",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52559831",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Max Wellness LLC
- Nikole Marin Maxey, L.AC.
- Maxim Healthcare
- Maxim Healthcare Services, Inc.
- Maxim Healthcare Services, Inc.
- Maxim Staffing Solutions
- Maximillian Wachtel, PH.D., LLC (Cherry Creek Psychology)
- Maximize Life Chiropractic
- Maximize Your Health (Downtonwn's Chiropractic Centre)
- Janelle Marie Maxson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.