Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Bala Cynwyd, PA
National Provider Identifier
1679719835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 03700501
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 1 Belmont Ave Ste 800
Bala Cynwyd, PA 19004-1611 - Phone
- (610) 617-0366
- NPI assigned
- Dec 18, 2008
- 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
- Controller
- Phone
- (410) 910-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 03700501 | PA | Primary |
Addresses
Primary practice location
1 Belmont Ave Ste 800
Bala Cynwyd, PA 19004-1611
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100729832-0045 | Medicaid | PA | |
| 100729832-0054 | Medicaid | PA | |
| 100729832-0073 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1679719835",
"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": "1 BELMONT AVE STE 800",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041611",
"telephone_number": "610-617-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "03700501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729832-0045",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729832-0054",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729832-0073",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.