Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04I157 Issued in CO

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

3665 JFK Pkwy
Suite 330
Fort Collins, CO 80525-3152

Phone

(970) 493-9300

Fax

(855) 218-7223

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

MAXIM HEALTHCARE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. David S. Kowalczyk

Title

Regional Controller

Phone

(410) 910-1730

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067502

Legal name

MAXIM HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 15, 2012

Last certification

Dec 31, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 2, 1988 in MD

Enrollment address

3665 JFK Pkwy
Ste 330
Fort Collins, CO 80525-3152

Listed as

Maxim Healthcare Services IncCCN 067502

Ownership

Proprietary

Certified

Mar 15, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Part of

Maxim Healthcare Servise

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 27

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 69

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1629025507

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Denver, CO
  • NPI 1649234782

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • La Junta, CO
  • NPI 1689603482

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Pueblo, CO
  • NPI 1871523514

  Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Wind Crest, Inc.

  • Skilled Nursing Facility
  • Highlands Ranch, CO
  • NPI 1316285729

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Arlington of Naples LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1326771015

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Ashby Ponds, Inc.

  • Skilled Nursing Facility
  • Ashburn, VA
  • NPI 1871831222

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Casa de Las Campanas, Inc.

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1770566978

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Chatsworth at Pga National LLC

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
  • NPI 1114008570

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Clare Propco LLC

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1902167349

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Eagle'S Trace Inc

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1144580192

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Fox Run Village, Inc.

  • Skilled Nursing Facility
  • Novi, MI
  • NPI 1750447223

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1801825690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LEE DEFOREST DRIVE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463405",
            "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": "3665 JFK PKWY",
            "address_2": "SUITE 330",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253152",
            "telephone_number": "970-493-9300",
            "fax_number": "855-218-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "410-910-1730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04I157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28425774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine M Matus, BA
• Ashley Nicole Maulsby
• Grace Maurer, PHARMD
• Tamara Maxfield
• Maxim Healthcare Services, Inc.
• Maxine Haller and Associates
• May Counseling, LLC
• Freyja W May, LCSW, MSW
• Kyle Daniel May
• Sarah May, CMT

• Home Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.