Active NPI
Maxim Healthcare Services, Inc
- Home Health Agency
- Jackson, TN
National Provider Identifier
1811149552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0000000618
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC
- Practice address
- 3031 Highway 45 Byp
Jackson, TN 38305-0600 - Phone
- (731) 668-0033
- Fax
- (731) 668-4030
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Duane Brickhouse
- Title
- Regional VP of Finance
- Phone
- (410) 910-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0000000618 | TN | Primary |
Addresses
Primary practice location
3031 Highway 45 Byp
Jackson, TN 38305-0600
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513176 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110414000796 | TN | Part A Provider - Home Health Agency | 1658288410 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jackson, TN; Memphis, TN |
Home health agency certification: CCN 447582
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 1, 2011
- Last certification
- Aug 7, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1988 in MD
- Enrollment address
- 1255 Lynnfield Dr
Suite 295
Memphis, TN 38119-5161
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maxim Healthcare Services, Inc
- Ownership
- Proprietary
- Certified
- Aug 1, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Home Health Agency
- Greeneville, TN
- NPI 1013012053
-
- Home Health Agency
- La Follette, TN
- NPI 1184857567
-
- Home Health Agency
- Knoxville, TN
- NPI 1285721142
-
- Home Health Agency
- Clarksville, TN
- NPI 1053543223
-
- Community/Behavioral Health Agency
- Brentwood, TN
- NPI 1194662262
-
- Home Health Agency
- Brentwood, TN
- NPI 1356439368
-
- Home Health Agency
- Memphis, TN
- NPI 1548358542
-
- Home Health Agency
- Chattanooga, TN
- NPI 1689769820
-
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1730026808
-
- Home Health Agency
- Johnson City, TN
- NPI 1740676147
-
- Community/Behavioral Health Agency
- Chattanooga, TN
- NPI 1811707193
-
- Home Health Agency
- Cookeville, TN
- NPI 1912002940
Locations
3031 Highway 45 Byp
Jackson, TN 38305
Phone (731) 668-0033
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph W Marshall | Corporate Director | Jul 1, 2017 | |
| Randall D Sones | Corporate Director | Feb 11, 2011 | |
| Duane D Brickhouse | W-2 Managing Employee | Oct 15, 2012 | |
| Jarrod L Depriest | Corporate Officer | Jan 1, 2022 | |
| Matthew Sticklin | Corporate Officer | Aug 29, 2022 | |
| Toni-Jean L Friedman | Corporate Officer | Nov 1, 2009 | |
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Feb 18, 2019 | 38.89% |
| Stephen J Bisciotti | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.94% |
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| Maxim Healthcare Services Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1811149552",
"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",
"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": "3031 HIGHWAY 45 BYP",
"city": "JACKSON",
"state": "TN",
"postal_code": "383050600",
"telephone_number": "731-668-0033",
"fax_number": "731-668-4030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "BRICKHOUSE",
"authorized_official_first_name": "DUANE",
"authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
"authorized_official_telephone_number": "410-910-1500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TN",
"license": "0000000618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513176",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.