NPIMap

Organization Active NPI

Maxima Group Behavioral Services

  • Intellectual Disabilities Intermediate Care Facility
  • Franklinton, LA
National Provider Identifier
1710199690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
SIL10710 Issued in LA
Legal business name
MAXIMA GROUP BEHAVIORAL SERVICES
Practice address
1001 15TH Street
Franklinton, LA 70438-2101
Phone
(985) 795-1704
Fax
(985) 795-1706
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Byron Lee
Title
Ceo
Phone
(985) 795-1704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X PCA10713 LA
Intellectual Disabilities Intermediate Care Facility 315P00000X SIL10710 LA Primary

Addresses

Primary practice location

1001 15TH Street
Franklinton, LA 70438-2101

Mailing address

1001 15TH Ave
Franklinton, LA 70438-2101
Phone (985) 795-1704

Other identifiers 3

IdentifierTypeStateIssuer
1463043MedicaidLA
1477443MedicaidLA
1191612MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Maxima Group Behavioral Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710199690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382101",
            "telephone_number": "985-795-1704",
            "fax_number": "985-795-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 15TH STREET",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382101",
            "telephone_number": "985-795-1704",
            "fax_number": "985-795-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMA GROUP BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-795-1704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "PCA10713",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "SIL10710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463043",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477443",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191612",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.