Maxim Healthcare Services, Inc.
Organization Active NPI Home Health Agency · Grand Rapids, MI
NPI 1841308137 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1841308137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663 - Phone
- (616) 222-5601
- Fax
- (616) 285-5101
- NPI assigned
- Aug 27, 2006
- Organization subpart
- No
Authorized official
- Name
- David Kowalczyk
- Title
- Controller
- Phone
- (410) 910-1500
Practitioners 12
-
Brandi Janka, BSN RN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0988103 | Maxim Healthcare Services, Inc | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
Locations
5300 Patterson Ave SE
Ste 100E
Grand Rapids, MI 49512
Phone (616) 222-5601
2627 E Beltline Ave SE
Ste 210
Grand Rapids, MI 49546
Phone (202) 971-5004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663
Mailing address
7227 Lee Deforest Drive
Columbia, MD 21046
Phone (410) 910-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4387992 | Medicaid | MI |
Other providers in Grand Rapids, MI
- Carolyn Gutai Maurer
- Jennifer Lynn Maurer
- John Raymond Maurer
- Paige Maurer
- Zung Mawi
- Judith Ann Maxim
- Maxwell Taylor
- Breeyn Nicole Maxwell
- Casilda Maxwell
- Kelly Jo Maxwell
All providers in Grand Rapids, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.