NPIMap

Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1750484531
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CAHC Issued in NJ
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
161 Gaither Dr Ste 102
Mount Laurel, NJ 08054-1740
Phone
(856) 755-1212
NPI assigned
Sep 6, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X CAHC NJ Primary

Addresses

Primary practice location

161 Gaither Dr Ste 102
Mount Laurel, NJ 08054-1740

Mailing address

7227 Lee Deforest Rd
Columbia, MD 21046-3236

Other practice location 1

200 Lake Dr E Ste 101
Cherry Hill, NJ 08002-1171
Phone (856) 755-1212

Other practice location 2

1040 Kings Hwy N
Suite 206
Cherry Hill, NJ 08034-1908
Phone (856) 755-9257

Other identifiers 1

IdentifierTypeStateIssuer
8079005MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Maxim Healthcare Services Inc337 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

1040 Kings Hwy N
Ste 206
Cherry Hill, NJ 08034
Phone (856) 755-9257

161 Gaither Dr
Ste 102
Mount Laurel, NJ 08054
Phone (856) 755-1212

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1750484531",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GAITHER DR STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541740",
            "telephone_number": "856-755-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lake Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080021171",
            "country_code": "US",
            "telephone_number": "856-755-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Kings Hwy N",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341908",
            "country_code": "US",
            "telephone_number": "856-755-9257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "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": "NJ",
            "license": "CAHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8079005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.