Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

317 W 3Rd St
Suite 100
La Junta, CO 81050-1401

Phone

(719) 383-0990

Fax

(719) 383-0998

NPI assigned

Jul 2, 2006

Last updated

Jul 25, 2008By 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. David S. Kowalczyk

Title

Regional Controller

Phone

(410) 910-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1689603482. Details of each certification follow.

• CCN 067413 Home health agency · Active · Details
• CCN 067466 Home health agency · Active · Details

Home health agency certification: CCN 067413

Legal name

MAXIM HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 27, 2000

Last certification

Nov 12, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 2, 1988 in MD

Enrollment address

3691 Parker Blvd 210
Pueblo, CO 81008-2278

Home health agency certification: CCN 067466

Legal name

MAXIM HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 21, 2008

Last certification

Nov 15, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 2, 1988 in MD

Enrollment address

317W 3Rd St
100
La Junta, CO 81050-1465

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Pueblo, CO
  • NPI 1871523514

  O20030410000012

  Same enrollment

Listed as

Maxim Healthcare Services IncCCN 067413 · All quality measures

Ownership

Proprietary

Certified

Sep 27, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Listed as

Maxim Healthcare Services IncCCN 067466 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

May 21, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 69

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1629025507

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Denver, CO
  • NPI 1649234782

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Fort Collins, CO
  • NPI 1801825690

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Pueblo, CO
  • NPI 1871523514

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Wind Crest, Inc.

  dba Continuing Care at Wind Crest

  • Skilled Nursing Facility
  • Highlands Ranch, CO
  • NPI 1316285729

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Arlington of Naples LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1326771015

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Ashby Ponds, Inc.

  dba Continuing Care at Ashby Ponds

  • Skilled Nursing Facility
  • Ashburn, VA
  • NPI 1871831222

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Casa de Las Campanas, Inc.

  dba Casa de las Campanas

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1770566978

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Chatsworth at Pga National LLC

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
  • NPI 1114008570

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Clare Propco LLC

  dba Terraces at the Clare

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1902167349

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Eagle's Trace Inc

  dba Continuing Care at Eagle's Trace

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1144580192

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Fox Run Village, Inc.

  dba Continuing Care at Fox Run

  • Skilled Nursing Facility
  • Novi, MI
  • NPI 1750447223

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1689603482",
    "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": "317 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501401",
            "telephone_number": "719-383-0990",
            "fax_number": "719-383-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-07-25",
        "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": "410-910-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joslin Martin
• Melanie Erin Martinez, LPC
• Patrick Robert Martinez, LPC
• Michael J Martino, M.D.
• Donna Maurer, B.S.
• Maxim Healthcare Services,Inc.
• Kathy Ray McCoy, RPH
• Malyka May Medina, PHARM D
• Jonathon Michael Melendez
• Kali Mae Mendoza-Werner, PAC

• Home Health Agency in La Junta, CO
• Providers in La Junta, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.

Verify at the official NPI Registry.