NPIMap

Maxim Healthcare Services, Inc.

Organization Active NPI Home Health Agency · Santa Clarita, CA

NPI 1780822239 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1780822239
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
980000671 (CA)
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
28470 Avenue Stanford Ste 280
Santa Clarita, CA 91355-1460
Phone
(661) 964-6350
NPI assigned
Jan 21, 2009
Organization subpart
No

Authorized official

Name
Kowalczyk David
Title
Regional Controller
Phone
(410) 910-1500

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Maxim Healthcare Servise (337 organizations share this tax ID)

Locations

28470 Avenue Stanford
Ste 280
Valencia, CA 91355
Phone (661) 964-6350

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000671 CA Yes

Addresses

Primary practice location

28470 Avenue Stanford Ste 280
Santa Clarita, CA 91355-1460

Mailing address

7227 Lee Deforest Dr
Columbia, MD 21046-3236

Other practice location 1

27200 Tourney Rd
Suite 275
Valencia, CA 91355-4990
Phone (661) 964-6350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2021.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1780822239",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28470 AVENUE STANFORD STE 280",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551460",
            "telephone_number": "661-964-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27200 Tourney Rd",
            "address_2": "Suite 275",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554990",
            "country_code": "US",
            "telephone_number": "661-964-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "KOWALCZYK",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

All providers in Santa Clarita, CA · Home Health Agency in California

Sources for this page

Verify at the official NPI Registry.