Organization Active NPI

Maximacare LLC

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1790489615
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAXIMACARE LLC
Doing business as
Arcy at Home
Practice address
14785 Preston Rd Ste 445
Dallas, TX 75254-7876
Phone
(214) 424-6100
Fax
(214) 424-6112
NPI assigned
Mar 27, 2023
Organization subpart
Yes
Parent organization
MAXIMACARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Jimmie Milner Stapleton
Title
Ceo
Phone
(469) 293-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14785 Preston Rd Ste 445
Dallas, TX 75254-7876

Mailing address

700 Parker SQ Ste 265
Flower Mound, TX 75028-7449
Phone (972) 471-1111

Other identifiers 1

IdentifierTypeStateIssuer
021284OtherTXTEXAS LICENSE

Other names 1

  • Arcy at Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1089154Arcy at Home14785 Preston Rd Suite 445, Dallas, TX 75254Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory
Part of
Maximacare LLC

Locations

700 Parker Sq
Ste 265
Flower Mound, TX 75028
Phone (469) 348-0670

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1790489615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARKER SQ STE 265",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287449",
            "telephone_number": "972-471-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 PRESTON RD STE 445",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547876",
            "telephone_number": "214-424-6100",
            "fax_number": "214-424-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMACARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIMACARE LLC",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "MILNER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-293-1515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "021284",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcy at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.