Maxx Life Support Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXX LIFE SUPPORT SERVICES LLC

Practice address

902 Pavilion CT
McDonough, GA 30253-6665

Phone

(678) 671-6288

NPI assigned

May 21, 2025

Last updated

Jul 7, 2026By 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. Orin Waller

Title

Owner

Phone

(678) 671-6288

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1669264818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536665",
            "telephone_number": "678-671-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536665",
            "telephone_number": "678-671-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXX LIFE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "ORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-671-6288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Rehabilitation-Georgia Inc (Physiotherapy Associates)
• Rose A Matthews, M.S., CCC SLP
• Cynthia Denise Riley Maxwell, NP
• Marquita Latrice Maxwell, LPC
• Maxx Life Health Care LLC
• Kayla Nicole Mays, RPH
• Kwasi Mbwana
• Angel Joy McCaskill
• Alex Chebron McCollum
• Erica Breann McCrae

• Home Health Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.