Organization Active NPI

Maxim Healthcare Services,Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1730142704
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005076 Issued in TX
Legal business name
MAXIM HEALTHCARE SERVICES,INC.
Practice address
1160 Dairy Ashford St
Houston, TX 77079-3022
Phone
(281) 597-1553
Fax
(281) 597-1529
NPI assigned
Apr 10, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mr. Stephen P Walsh
Title
Regional Controller
Phone
(410) 910-1581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005076 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

1160 Dairy Ashford St
Houston, TX 77079-3022

Mailing address

7227 Lee Deforest Rd
Columbia, MD 21046-3236
Phone (410) 910-1500

Other identifiers 3

IdentifierTypeStateIssuer
K04593635MedicaidTX
001002325MedicaidTX
1129074-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1160 Dairy Ashford Rd
Houston, TX 77079
Phone (281) 597-1553

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1730142704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LEE DEFOREST RD",
            "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": "1160 DAIRY ASHFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793022",
            "telephone_number": "281-597-1553",
            "fax_number": "281-597-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "410-910-1581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005076",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K04593635",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002325",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129074-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.